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Arbors at Oregon

904 Isaac Streets Drive, Oregon, OH 43616 · Lucas County · (419) 691-2483

87 certified beds, about 74 residents a day · For profit - Corporation · Medicare and Medicaid since 1980

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365523 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 25, 2026, inspectors cited 7 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 50 health citations since October 2022, 4 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 2 fines totaling $36,224 in the last three years; the largest was $20,881, and the latest is dated August 27, 2025.

Nurses and nurse aides worked 4.25 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.87 of those hours.

45.6% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Arbors at Ohio, an affiliated group of 16 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 50 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
41D
5E
0F
Potential for minimal harm
0A
0B
0C
June 25, 2026Standard inspection · 7 citations
  1. G
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) July 14, 2026
    Inspectors wroteBased on medical record review, review of hospital documentation, resident interview, staff interview, and review of a facility policy, the facility failed to ensure residents ordered supplemental oxygen were provided timely care and services to maintain adequate oxygen levels and prevent a change in condition. Actual harm occurred to Resident #59 on 12/09/25 when the resident was removed from her bedroom to accommodate the need for maintenance staff to make repairs in the resident's room, and the resident was placed on an oxygen tank and taken to the dining room with no means to alert staff for clinical needs and no monitoring put into place to check the resident's condition. [...]
  2. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 14, 2026
    Inspectors wroteBased on observation, medical record review, resident interview, staff interview, and facility policy review, the facility failed to ensure a dependent resident was provided with adequate facial hair grooming. This affected one (#25) of three residents reviewed for the provision of activities of daily living in a facility census of 76.
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 14, 2026
    Inspectors wroteBased on observation, medical record review, resident interview, staff interview, and facility policy review, the facility failed to ensure wound treatments and interventions were implemented as prescribed. This affected one (#33) of two residents reviewed with wounds and related treatment applications in a facility census of 76.
  4. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 14, 2026
    Inspectors wroteBased on observation, medical record review, staff interview, and review of the facility policy, the facility failed to ensure gastrostomy (g-tube) care was complete and placement of the g-tube was verified prior to administering enteral feedings and flushes. This affected one (#73) of three residents reviewed for g-tubes. The facility census was 76.
  5. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 14, 2026
    Inspectors wroteBased on staff interview and medical record review, the facility failed to provide clinical rationale to support a provider's disagreement with a medication regimen review (MRR) as suggested by the pharmacist. This affected one ( #6) of five residents reviewed for unnecessary medications. The facility census was 76.
  6. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 14, 2026
    Inspectors wroteBased on observation, medical record review, and staff interview, review of manufacturer instructions, and review of a facility policy, the facility failed to ensure medications were properly labeled and dated. This affected three (#7, #19, and #3) of 19 residents who resided in the [NAME] hall. The facility census was 76.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 14, 2026
    Inspectors wroteBased on observation, medical record review, staff interview, and facility policy review, the facility failed to ensure enhanced barrier precautions were implemented for residents with wounds and indwelling medical devices during resident care. This affected two (#66 and #73) of two residents observed receiving direct care from staff who met criteria for enhanced barrier precautions. The facility census was 76.
January 5, 2026Complaint inspection · 5 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 13, 2026
    Inspectors wroteBased on record review, resident interview, staff interview, and policy review, the facility failed to timely report an allegation verbal abuse to the state agency. This affected one (#48) of three residents reviewed for abuse. The facility census was 77. Review of Resident #48's medical record revealed an admission date of 03/20/24, diagnoses included spinal stenosis of the cervical region, osteomyelitis, type II diabetes mellitus, and muscle weakness. Review of Resident #48's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #48 had intact cognition. Resident #48 was dependent for toilet hygiene, required partial/moderate assistance with personal hygiene, and was dependent for chair to bed transfers. [...]
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 13, 2026
    Inspectors wroteBased on record review, resident interview, staff interview, and policy review, the facility failed to investigate a report of alleged verbal abuse. This affected one (#48) of three residents reviewed for abuse. The facility census was 77. Review of Resident #48's medical record revealed an admission date of 03/20/24, diagnoses included spinal stenosis of the cervical region, osteomyelitis, type II diabetes mellitus, and muscle weakness. Review of Resident #48's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #48 had intact cognition. Resident #48 was dependent for toilet hygiene, required partial/moderate assistance with personal hygiene, and was dependent for chair to bed transfers. [...]
  3. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 13, 2026
    Inspectors wroteBased on observation, record review, staff interview, review of the manufacturer instructions, and review of facility policy, the facility failed to maintain a medication administration error rate of less than five percent. This affected two (#04 and #24) of three residents reviewed for medication administration. There were 36 opportunities with two medication errors for a medication error rate that was 5.5 percent. The facility census was 77.1. Review of Resident #04's medical record revealed an initial admission date of 03/14/24 and a re-admission date of 08/12/25. Diagnoses included traumatic brain injury without loss of consciousness, type II diabetes mellitus, muscle weakness, depression, and dysphagia. Review of Resident #04's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #04 had moderately impaired cognition and received hypoglycemic medication. [...]
  4. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 13, 2026
    Inspectors wroteBased on observation, record review, staff interview, review of the manufacturer instructions, and review of facility policy, the facility failed to ensure insulin pens were primed prior to administration of insulin. This affected two residents (#04 and #24) of two residents reviewed for insulin administration. The facility census was 77.1. Review of Resident #04 ' s medical record revealed an initial admission date of 03/14/24 and a re-admission date of 08/12/25. Diagnoses included traumatic brain injury without loss of consciousness, type II diabetes mellitus, muscle weakness, depression, and dysphagia. Review of Resident #04 ' s quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #04 had moderately impaired cognition and received hypoglycemic medication. [...]
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 13, 2026
    Inspectors wroteBased on observation, record review, staff interview, and policy review, the facility failed to ensure infection control standards were maintained during the preparation of medication for administration. This affected two residents (#04 and #24) of three residents reviewed for infection control. The facility census was 77. 1. Review of Resident #04's medical record revealed an initial admission date of 03/14/24 and a re-entry date of 08/12/25. Diagnoses included traumatic brain injury without loss of consciousness, type II diabetes mellitus, muscle weakness, depression, and dysphagia. Review of Resident #04's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #04 had moderately impaired cognition. Furthermore, Resident #04 took anti anxiety, antidepressant, hypoglycemic, and anticonvulsant medications. [...]
August 27, 2025Complaint inspection · 4 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 7, 2025
    Inspectors wroteBased on review of a social media post, medical record review, staff interview, Police Detective (PD) interview, review of the facility video surveillance, review of the Local Police Department (LPD) report, review of the local weather report and review of the facility policy, the facility failed to ensure Resident #23, who had a diagnosis of alcohol dependence with induced persisting dementia, had a history of an elopement from a previous facility, was assessed to be at risk for elopement, and had a Wanderguard (wearable bracelet that triggers alarms at the doors to alert staff when a resident attempts to exit) applied to his left ankle, did not elope from the facility without staff knowledge. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm, injury, and/or death on 08/09/25 at 10:38 A.M. [...]
  2. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 7, 2025
    Inspectors wroteBased on observation, staff interview, and review of the facility policy, the facility failed to ensure medication carts were secured when left unattended and further failed to appropriately dispose of oral syringes used for the administration of medication. This had the potential to affect seven (#22, #23, #28, #31, #34,#35, and #44) residents identified by the facility as being cognitively impaired, independently mobile, and resided on the C and D Halls. The facility census was 66.
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 7, 2025
    Inspectors wroteBased on observation, staff interview, and review of the facility policy the facility failed to ensure foods were appropriately stored and further failed to ensure foods were discarded of past the use by dates. This had the potential to affect all residents residing in the facility, except for 13 (#3, #5, #6, #8, #12, #13, #15, #16, #17, #19, #20, #21, and #33) residents identified by the facility as receiving no food by mouth. The facility census was 66.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 7, 2025
    Inspectors wroteBased on medical record review, staff interview, and review of the facility policy the facility failed to ensure wound measurements were completed for ongoing assessment of wounds. This affected one (#64) of three residents reviewed for wound care. The facility census was 66.
September 30, 2024Complaint inspection · 1 citation
  1. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 2, 2024
    Inspectors wroteBased on observation, medical record review, staff interview, and facility policy review, the facility failed to ensure residents with intravenous (IV) catheters received dressing changes as ordered and had active orders for care and treatment. This affected three (#1, #2, and #3) of three residents reviewed for IV catheter care and treatment. The facility census was 69.
August 5, 2024Standard inspection, Complaint inspection · 10 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteAMENDED 08/27/24 Based on observation, medical record review, family and staff interview, and review of the facility's Pressure Ulcer/Skin Breakdown Clinical Protocol, and review of the guidelines from the National Pressure Ulcer Advisory Panel (NPUAP), the facility failed to accurately assess wounds, provide timely interventions to prevent the development of pressure ulcers or healing of existing pressure ulcers, failed to obtain timely treatments of existing wounds, and failed to timely identify the resident's pressure ulcers until it reached an advanced stage. This resulted in Actual Harm to Residents #79 and #40 who were at risk for pressure ulcers and the facility found Resident #79's pressure ulcer as an unstageable pressure ulcer (Slough and/or eschar: [...]
  2. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteAMENDED 08/27/24 Based on observation, medical record review, resident interview, staff interview, and review of policy, the facility failed to ensure residents who required staff assistance with activities of daily living, received adequate and timely care to maintain good personal hygiene including nail care, bathing, and shaving. This affected four (#15, #16, #19, and #185) of seven residents reviewed for activities of daily living. The facility census was 74. Findings Include: 1. Review of Resident #16's medical record revealed an admission date of 04/12/10. Diagnoses included type II diabetes, chronic obstructive pulmonary disease, dementia, anxiety disorder, and anoxic brain damage. Review of Resident #16's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of zero indicating Resident #16 was severely cognitively impaired. [...]
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on medical record review, observation, resident interview, staff interview, and review of the policy, the facility failed to develop comprehensive care plans which included supports for dental needs. This affected one (#1) of three residents reviewed for ancillary services. The facility census was 74. Findings Include: Review of Resident #1's medical record revealed an admission date of 03/22/22. Diagnoses included Alzheimer's disease, altered mental status, chronic kidney disease, history of stroke, muscle wasting and atrophy, osteoporosis, and symbolic dysfunction. Review of Resident #1's Minimum Data Set (MDS) Annual Review dated 03/13/24 Resident #1 had no obvious or likely cavity or broken natural teeth. [...]
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteAMENDED 08/27/24 Based on resident interview, medical record review, staff interview, observations, and review of policy, the facility failed to ensure residents and/or their representatives participated in resident care planning. This affected one (#129) of three residents reviewed for care plan participation. In addition, the facility failed to ensure resident care plans were reviewed and revised when a resident's smoking status changed. This affected one resident (#13) of three residents reviewed for smoking. The facility census was 74. Findings Include: 1. Review of Resident #129's medical record revealed an admission date of 07/11/24. Diagnoses included chronic obstructive pulmonary disease, respiratory failure, heart disease, anxiety disorder, and major depressive disorder. [...]
  5. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to ensure alternative methods of communication were provided as indicated. This affected one (#17) of one sampled residents reviewed for alternate means of communication in a facility census of 74.
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on record review, observation, staff interview and review of the clinical protocol, the facility failed to identify, report and timely assess an alteration in skin integrity. This affected one (#19) of six resident reviewed for skin integrity. The facility census was 74.
  7. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on resident interview, medical record review, and staff interview, the facility failed to ensure audiology services were provided timely for residents with identified hearing concerns. This affected one resident (#70) of two residents reviewed for audiology services. The facility census was 74. Findings Include: Review of Resident #70's medical record revealed an admission date of 04/23/24. Diagnoses included conductive hearing loss, impacted earwax, and injury of thorax subsequent encounter. Review of Resident #70's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating Resident #70 was cognitively intact. Resident #70 required touching assistance with toilet use, bathing, and parts of dressing. Resident #70 was highly hearing impaired and did not have hearing aides at the time of the review. [...]
  8. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on observation, medical record review, staff interview, and policy review, the facility failed to ensure interventions to promote range of motion and limit contractures were implemented as ordered. This affected two (#24 and #19 ) of three sampled residents reviewed for range of motion. The facility census was 74.
  9. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on observation, medical record review, resident interview, staff interview, and review of policy the facility failed to follow their policy to secure resident's smoking materials and failed to ensure residents smoked in the proper designated areas. This affected two (#70 and #13) of three residents reviewed for accidents and hazards. The facility census was 74. Findings Include: 1. Review of Resident #70's medical record revealed an admission date of 04/23/24. Diagnoses included conductive hearing loss, impacted earwax, and injury of thorax subsequent encounter. Review of Resident #70's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating Resident #70 was cognitively intact. Resident #70 required touching assistance with toilet use, bathing, and parts of dressing. [...]
  10. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on resident interview, staff interview, medical record review, and review of facility policy, the facility failed to provided adequate and timely care to prevent episode of incontinence for a resident who was continent of bowel and bladder. This affected one (#69) of two residents reviewed for bowel and bladder incontinence. The facility census was 74. Findings Include: Review of Resident #69's medical record revealed an admission date of 04/02/24. Diagnoses included hemiplegia and hemiparesis, stroke, peripheral vascular disease, depression, cognitive communication deficit, insomnia, and benign prostatic hyperplasia. Review of Resident #69's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating Resident #69 was cognitively intact. Resident #69 was dependent on staff for toilet use and dressing. [...]
June 4, 2024Complaint inspection · 2 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2024
    Inspectors wroteBased on observation, medical record review, and resident and staff interview, the facility failed to ensure dependent residents were provided with adequate grooming and hygiene. This affected one resident (#1) of three residents observed for the provision of activities of daily living in a facility census of 80.
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2024
    Inspectors wroteBased on medical record review, staff interview, hospital documentation review, and review of a facility incontinence policy, the facility failed to ensure dependent residents received timely and sufficient care related to bowel incontinence. This affected one (#3) of three residents reviewed for the provision of incontinence care services in a facility census of 80.
March 20, 2024Complaint inspection · 2 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 1, 2024
    Inspectors wroteBased on medical record review, staff and resident interview, and policy review, the facility failed to notify resident representatives of a change in condition requiring a transfer to the hospital. This affected two (#27 and #66) of four residents reviewed for change in condition. The facility census was 65.
  2. D
    Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
    F620 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 1, 2024
    Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to complete admissions procedures and documents per the facility policy. This affected two (#66 and #67) of three reviewed for admissions. The facility census was 65.
January 18, 2024Complaint inspection · 1 citation
  1. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 19, 2024
    Inspectors wroteBased on medical record review, resident interview, staff interview, and review of the electronic mail (e-mail) correspondence), the facility failed to honor Resident #45's preference for showers and grooming. This affected one (#45) of three residents reviewed for activities of daily living. The facility census was 64.
November 11, 2023Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on closed record review, staff interviews, review of hospital documentation, review of witness statements, review of a fall policy, and review of the facility's fall investigation, the facility failed to ensure care was provided per Resident #71's plan of care, failed to prevent an avoidable fall with injuries and failed to conduct a thorough post-fall investigation including a root cause analysis to identify potential hazards and resident-specific interventions to reduce and/or eliminate falls. This resulted in Actual Harm on 10/20/23 when State Tested Nursing Assistant (STNA) #180 provided care to Resident #71, who was cognitively impaired and dependent on two staff for bed mobility and toileting, without the assistance of two staff resulting in the resident rolling away from the STNA and falling onto the floor. [...]
October 11, 2023Complaint inspection · 1 citation
  1. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 12, 2023
    Inspectors wroteBased on observation, medical record review, staff interview, and policy review, the facility failed ensure medications as ordered by a physician. A total of two medications were administered in error out of 36 opportunities for a medication error rate of 5.55 percent (%). This affected two (#3 and #22) of four residents observed for medication administration. The facility census was 56.
September 12, 2023Complaint inspection · 4 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 14, 2023
    Inspectors wroteBased on observation, resident interview, staff interview, review of the medical record, and review of policy, the facility failed to ensure a resident dependent on staff assistance was provided showers. This affected one (#27) of three residents reviewed for showers. The facility census was 55.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 14, 2023
    Inspectors wroteBased on observation, staff interview, and record review, the facility failed to ensure residents received adequate assistance to ensure safety while providing incontinence care and repositioning. This affected one (#45) of one resident reviewed for safety. The facility census was 55.
  3. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 14, 2023
    Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to accurately document the administration of controlled substances. This affected one (#76) of three residents reviewed for medication administration. The facility census was 55.
  4. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 14, 2023
    Inspectors wroteBased on observation, resident interview, staff interview, and policy review, the facility failed to provide a clean environment. This affected one (#20) of three residents reviewed for environment. The facility census was 55.
October 6, 2022Standard inspection · 12 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 2, 2022
    Inspectors wroteBased on observation, staff interview, and review of facility policy, the facility failed to serve meals in a sanitary manner. This affected three (#3, #27, and #45) of 59 residents residing in the facility. The facility census was 59.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 2, 2022
    Inspectors wroteBased on record review, observation, staff interview, and review of facility policy, the facility failed to ensure staff practiced hand hygiene and utilized personal protective equipment appropriately when providing care to residents on transmission-based precautions. This had the potential to affect 12 (#4, #9, #14, #17, #28, #30, #38, #39, #43, #51, #54, and #155) of 12 residents identified to be on transmission-based precautions. The facility census 59.
  3. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 2, 2022
    Inspectors wroteBased on observation, medical record review, and staff and resident interview, the facility failed to ensure residents were placed into proper fitting beds. This affected one resident (#46) out of 24 residents observed for the provision of assistive devices and furniture. The facility census was 59.
  4. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 2, 2022
    Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to notify the physician and responsible party of a significant weight loss. This affected one resident (#45) out of four residents reviewed for nutrition. The facility census was 59.
  5. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 2, 2022
    Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure the Minimum Data Set (MDS) assessments were completed accurately. This affected one resident (#20) out of three residents reviewed for oxygen use. The facility census was 59.
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 2, 2022
    Inspectors wroteBased on medical record review, policy review and staff interview, the facility failed to ensure treatments were completed per physician order. This affected one resident (#18) out of one reviewed for a skin tear. The facility census was 59.
  7. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 2, 2022
    Inspectors wroteBased on observation, medical record review, staff interview, policy review, and review of the dressing package instructions, the facility failed to ensure timely wound assessment and wound treatments were provided in accordance with physician orders. This affected one resident (#08) out of three residents reviewed for pressure ulcers. The facility census was 59.
  8. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 2, 2022
    Inspectors wroteBased on observation, medical record review, staff interview, facility policy review, and hospital documentation review, the facility failed to provide the care and treatment to a resident utilizing an indwelling urinary catheter to main urinary function. This affected one (#8) of two individuals reviewed for the placement and care of urinary catheters. The facility census of 59.
  9. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 2, 2022
    Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to monitor, recognize, and assess a resident who sustained significant weight loss. This affected one (#45) of four residents reviewed for nutrition. The facility census was 59.
  10. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 2, 2022
    Inspectors wroteBased on medical record review, staff and family interviews and review of facility policies, the facility failed to ensure the administration of tube feeding was assessed, monitored and timely treated when gastrointestinal changes occurred. This affected one (#8) of three residents reviewed for the administration of tube feeding. The facility census was 59.
  11. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 2, 2022
    Inspectors wroteBased on observation, medical record review, staff interview, and review of facility policy, the facility failed to ensure Central Venous Catheters were maintained in accordance with physician orders. This affected one (#7) of one residents reviewed for the maintenance of a CVC and identified by the facility with a CVC inserted. Facility census 59.
  12. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 2, 2022
    Inspectors wroteBased on observation, record review, policy review, and staff interview, the facility failed to obtain physician orders for residents receiving oxygen therapy and maintain the oxygen equipment per policy. This affected two (#13 and #255) of four residents reviewed for oxygen therapy.

Fire safety inspections

21 fire safety citations on file: 2 on June 25, 2026, 12 on August 5, 2024, 7 on October 6, 2022.

Every fire safety citation21 citations
  1. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 25, 2026 · Corrected (the home has a date of correction)
  2. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · June 25, 2026 · Corrected (the home has a date of correction)
  3. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · August 5, 2024 · Corrected (the home has a date of correction)
  4. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 5, 2024 · Corrected (the home has a date of correction)
  5. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · August 5, 2024 · Waiver
  6. F
    Have simulated fire drills held at unexpected times.
    K 712 · August 5, 2024 · Corrected (the home has a date of correction)
  7. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 5, 2024 · Corrected (the home has a date of correction)
  8. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · August 5, 2024 · Corrected (the home has a date of correction)
  9. F
    Have proper power supply for life support equipment.
    K 915 · August 5, 2024 · Corrected (the home has a date of correction)
  10. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 5, 2024 · Corrected (the home has a date of correction)
  11. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · August 5, 2024 · Corrected (the home has a date of correction)
  12. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 5, 2024 · Corrected (the home has a date of correction)
  13. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · August 5, 2024 · Corrected (the home has a date of correction)
  14. E
    Have restrictions on the use of highly flammable decorations.
    K 753 · August 5, 2024 · Corrected (the home has a date of correction)
  15. F
    Have simulated fire drills held at unexpected times.
    K 712 · October 6, 2022 · Corrected (the home has a date of correction)
  16. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · October 6, 2022 · Corrected (the home has a date of correction)
  17. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 6, 2022 · Corrected (the home has a date of correction)
  18. F
    Meet requirements for the use and maintenance of medical gas equipment.
    K 922 · October 6, 2022 · Corrected (the home has a date of correction)
  19. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 6, 2022 · Corrected (the home has a date of correction)
  20. E
    Install corridor and hallway doors that block smoke.
    K 363 · October 6, 2022 · Corrected (the home has a date of correction)
  21. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · October 6, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
August 27, 2025Fine $15,343
August 5, 2024Fine $20,881

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)4.253.693.86
Registered nurses0.870.640.69
All nursing staff on weekends3.613.283.42
Nurse aides2.30
Licensed practical nurses1.08
Nursing staff turnover (share who left in a year)45.6%48.7%45.8%
Registered nurse turnover38.9%43.9%42.9%
Administrators who left1

CMS expects 4.60 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.50 on weekdays and 3.61 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.94 in April to June 2025 to 4.25 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.250.874.503.61 1.1%1 of 9074
Oct to Dec 20254.390.974.633.77 0.6%0 of 9271
Jul to Sep 20254.091.304.373.38 2.1%0 of 9269
Apr to Jun 20253.941.114.133.46 0.0%0 of 9169
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Ohio

JobMedianMiddle halfEmployed
Ohio, all employers
CNAs (nursing assistants)$18.76$17.93 to $21.4463,280
LPNs and LVNs$29.78$27.34 to $31.6839,900
Registered nurses$39.67$38.08 to $47.61143,730
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Arbors at Oregon. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
3.85.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.60.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.53.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.51.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.46.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.33.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.58.815.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Arbors at Oregon's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (43.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

43.6% this home

No different from the national rate

US median of homes 51.5% · Ohio: 147 better, 20 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 38 eligible stays.

Potentially preventable readmissions

11.2% this home

No different from the national rate

US median of homes 10.7% · Ohio: 3 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 34 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Ohio: 1 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 16 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Ohio55.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 13 residents counted.

Falls with major injury

0.0% this home

Median of homes: Ohio0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 26 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Ohio1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 26 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Ohio100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 5 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: OREGON OPCO LLC. CMS links this home to Arbors at Ohio, a group of 16 nursing homes averaging 2.8 stars overall.

NameRoleTypeShareSince
Ark Opco Group, LLC5% or greater direct ownership interestOrganization100%07/01/2015
B&y Healthcare S Corp5% or greater indirect ownership interestOrganization07/01/2015
B&y Trust5% or greater indirect ownership interestOrganization07/01/2015
Cody Healthcare S Corp5% or greater indirect ownership interestOrganization07/01/2015
Craig Flashner 2007 Trust5% or greater indirect ownership interestOrganization07/01/2015
Norcross, RobertContracted managing employeeIndividual07/01/2015
Rogers, StaceyContracted managing employeeIndividual07/01/2015
Kirk, KristineW-2 managing employeeIndividual09/01/2016
Flashner, CraigCorporate officerIndividual07/01/2015
Perlstein, YitzchokCorporate officerIndividual07/01/2015
Noble Healthcare Management, LLCOperational/managerial controlOrganization07/01/2015
Prestige Administrative Services, LLCOperational/managerial controlOrganization01/01/2016
Flashner, CraigOperational/managerial controlIndividual07/01/2015
Perlstein, YitzchokOperational/managerial controlIndividual07/01/2015

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 27 problems in this area, most recently on June 25, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on June 25, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on March 20, 2024: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on August 5, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Common questions

What is Arbors at Oregon's Medicare star rating?
CMS rates Arbors at Oregon 3 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Arbors at Oregon get at its last inspection?
7 health deficiencies at the standard inspection on June 25, 2026. The Ohio average is 10.5.
Has Arbors at Oregon been fined?
Yes. CMS lists 2 fines totaling $36,224 in the last three years.
Does Arbors at Oregon accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Arbors at Oregon?
CMS lists 14 owners and managers, and links the home to Arbors at Ohio. Legal business name: OREGON OPCO LLC.

Sources

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