Arbors at Oregon
904 Isaac Streets Drive · Oregon, OH · 43616 · 4196912483
87 certified beds For profit - Limited Liability company Chain: Arbors at Ohio
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.39 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.97 | 0.55–0.75 |
| Weekend hours / resident-day | 3.77 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 2 · $44,486 |
Inspection citations (47 in the current record)
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Potential for harm · D January 5, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 5, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 5, 2026 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected January 13, 2026 · Pharmacy Service
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Potential for harm · D January 5, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 13, 2026 · Pharmacy Service
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Potential for harm · D January 5, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 13, 2026 · Infection Control
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Immediate jeopardy · J August 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 7, 2025 · Quality of Life and Care
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Potential for harm · D August 27, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 7, 2025 · Quality of Life and Care
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Potential for harm · E August 27, 2025 · found via complaint
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.
Corrected September 7, 2025 · Pharmacy Service
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Potential for harm · E August 27, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 7, 2025 · Nutrition and Dietary
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Potential for harm · D September 30, 2024 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected October 2, 2024 · Quality of Life and Care
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Actual harm · G August 5, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 30, 2024 · Quality of Life and Care
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Potential for harm · D 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.
Corrected August 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 5, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected August 30, 2024 · Quality of Life and Care
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Potential for harm · E August 5, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 30, 2024 · Quality of Life and Care
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Potential for harm · D August 5, 2024
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.
Corrected August 30, 2024 · Quality of Life and Care
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Potential for harm · D August 5, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 30, 2024 · Quality of Life and Care
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Potential for harm · D August 5, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 5, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 30, 2024 · Quality of Life and Care
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Potential for harm · D August 5, 2024 · found via complaint
Assist a resident in gaining access to vision and hearing services.
Corrected August 30, 2024 · Quality of Life and Care
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Potential for harm · D August 5, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 30, 2024 · Quality of Life and Care
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Potential for harm · D June 4, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 10, 2024 · Quality of Life and Care
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Potential for harm · D June 4, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 10, 2024 · Quality of Life and Care
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Potential for harm · D March 20, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 1, 2024 · Resident Rights
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Potential for harm · D March 20, 2024 · found via complaint
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.
Corrected April 1, 2024 · Resident Rights
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Potential for harm · D January 18, 2024 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected January 19, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 27, 2025 | Fine | $23,605 |
| August 5, 2024 | Fine | $20,881 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365523 · certified since April 23, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.