Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Arbor Lake Skilled Nursing & Rehabilitation during CMS and state inspections, most recent first.
The facility failed to ensure residents were free from physical restraints used for convenience, lacking consents and physician orders for lap trays as restraints. Three residents with severe cognitive impairments were observed using gerichairs with lap trays without proper documentation or monitoring for release every two hours.
The facility failed to obtain informed consent for side rail use for two residents. One resident, who is cognitively aware, was observed with bilateral quarter side rails without documented consent or information on risks and benefits. Another resident with Alzheimer's disease was observed with a right quarter side rail, also lacking documented consent and risk-benefit information. Interviews with nursing staff confirmed these deficiencies.
The facility failed to ensure proper documentation of medication administration for several residents, leading to deficiencies in care. Residents with severe cognitive impairments and various medical conditions had multiple instances of undocumented medication administration over two months. This issue was confirmed by the facility's nursing leadership, indicating a systemic problem with medication administration documentation.
A pharmacist failed to identify and report irregularities in medication administration documentation for several residents, including those with severe cognitive impairments and various medical conditions. The oversight involved missing entries in the September 2024 MAR, which were not addressed in the pharmacist's October report. This deficiency was confirmed by the DON and ADON through interviews.
A resident with multiple health conditions was found self-administering unauthorized medications, including Fluticasone nasal spray and an Albuterol inhaler, without proper assessment or documentation. The facility's policy requires evaluation of residents' abilities to self-administer medications and secure storage of such medications, which was not adhered to in this case. An LPN confirmed the resident should not have had these medications at the bedside, indicating a deficiency in medication management.
A facility failed to document the reason for a resident's hospital transfer, violating discharge procedures. The resident had multiple medical conditions, but there was no record in the nurses' notes explaining the transfer. Staff confirmed the lack of documentation and that the family was only notified by phone.
A facility failed to provide a resident-centered activity program for a resident with severe cognitive impairment, despite their expressed preferences and care plan. The resident, with multiple health diagnoses, was observed sitting without engaging in activities, and staff interactions were minimal. Interviews revealed a lack of documentation and facilitation of activities, leading to the deficiency.
A facility failed to provide adequate supervision for a resident with severe cognitive impairment and multiple psychiatric and neurological conditions, who was investigated for smoking. Despite a care plan identifying the resident as at risk for injury related to smoking, the resident was left unsupervised in the smoking area, and staff inaccurately assessed the resident as a safe smoker. The facility's smoking policy requires supervision in designated areas, but observations showed the resident was not properly monitored, leading to a deficiency in ensuring safety.
A facility failed to ensure a resident's drug regimen was free from unnecessary psychotropic medications by not providing an acceptable diagnosis for Seroquel. Despite recommendations from a Pharmaceutical Consultant, the physician did not address the need for an appropriate diagnosis, which was confirmed by the DON.
Failure to Obtain Consents and Monitor Restraint Use
Penalty
Summary
The facility failed to ensure that residents were free from the use of physical restraints imposed for discipline or convenience. Specifically, the facility did not obtain restraint consents that included the risks and benefits of restraint use for three residents. Additionally, there were no physician orders for the use of lap trays as restraints for two of these residents, and there was a lack of monitoring for the release of the lap trays for all three residents. Resident #42 was admitted with multiple diagnoses, including major depressive disorder and dementia. The resident's care plan included the use of a gerichair with a lap tray to promote mobility and socialization. However, there was no documented pre-restraining assessment prior to the implementation of the gerichair with a lap tray, and the consent form did not specify the restraint or identify the associated risks and benefits. Furthermore, there was no evidence of monitoring for the release of the lap tray every two hours as required. Similarly, residents #64 and #92 were observed using gerichairs with lap trays without physician orders or documented consents. Both residents had severe cognitive impairments and required assistance with daily activities. The facility failed to document the monitoring of the lap trays' release every two hours, and there was no evidence that the residents or their responsible parties were informed of the potential risks and benefits of using the lap trays as restraints.
Failure to Obtain Informed Consent for Side Rail Use
Penalty
Summary
The facility failed to ensure informed consent was obtained for the use of side rails for two residents, as required by their policy. Resident #22, who is cognitively aware and able to make daily decisions, was observed with bilateral quarter side rails raised on multiple occasions. However, the facility did not document the assistive device in the resident's consent form, nor did they inform the resident or their representative about the potential benefits and risks associated with the side rail use. Interviews with the Assistant Director of Nurses (ADON) and the Director of Nursing (DON) confirmed the absence of consent for the use of side rails for this resident. Similarly, Resident #18, who has a diagnosis of Alzheimer's disease and requires extensive assistance with bed mobility, was observed with a right quarter side rail raised. The facility also failed to document this assistive device in the resident's consent form and did not inform the resident or their representative about the potential benefits and risks of side rail use. An interview with another ADON confirmed that the consent form did not identify the use of the right quarter side rail and that the potential risks and benefits were not included in the consent.
Inadequate Medication Administration Documentation
Penalty
Summary
The facility failed to ensure that nursing staff demonstrated the necessary competencies and skills to care for residents' needs, as evidenced by inadequate documentation of medication administration for six residents. The report highlights that there was no documentation of medication administration for various medications prescribed to these residents over September and October 2024. This lack of documentation was confirmed by the Director of Nursing (DON) and Assistant Director of Nursing (ADON) during interviews. Resident #68, who has severe cognitive impairment and multiple diagnoses including type 2 diabetes and congestive heart failure, had numerous instances of undocumented medication administration. The September and October 2024 Medication Administration Records (MARs) revealed missing documentation for several medications, including Atorvastatin, Lasix, and Zoloft, among others. Additionally, required assessments such as pain and behavior/mood monitoring were not consistently documented. Similarly, other residents, including those with moderate cognitive impairment and various medical conditions, also experienced lapses in documentation. For instance, Resident #17's MARs showed missing documentation for Macrobid administration, while Resident #83's records lacked documentation for Eliquis administration and bleeding precautions monitoring. These deficiencies were acknowledged by the facility's nursing leadership, indicating a systemic issue with medication administration documentation across the facility.
Pharmacist Fails to Report Medication Documentation Irregularities
Penalty
Summary
The deficiency involves a failure by the pharmacist to identify and report irregularities in medication administration documentation for several residents. The pharmacist did not notify the attending physician, the facility's medical director, or the director of nursing about these irregularities, which included incomplete documentation of medication administration for multiple residents. This oversight was identified during a review of the September 2024 Medication Administration Records (MAR) and confirmed by the Director of Nursing (DON). Resident #68, who has severe cognitive impairment and multiple diagnoses including diabetes and dementia, had numerous instances of undocumented medication administration in September 2024. The pharmacist's October 2024 report failed to address these missing entries. Similarly, Resident #17, with moderate cognitive impairment and a history of urinary tract infections, had missing documentation for the administration of Macrobid, an antibiotic, which was not identified by the pharmacist. Other residents, including those with severe cognitive impairments and various medical conditions, also had significant gaps in their medication administration records. For instance, Resident #50 had multiple medications not documented as administered, and Resident #59 had several instances of undocumented medication administration. The pharmacist's failure to report these irregularities was confirmed through interviews with the DON and Assistant Director of Nursing (ADON), highlighting a systemic issue in the medication review process.
Failure to Assess Resident for Self-Administration of Medications
Penalty
Summary
The facility failed to assess a resident for self-administration of medications, as required by their policy. The policy mandates that staff and practitioners evaluate each resident's mental and physical abilities to determine if self-administration is clinically appropriate. Additionally, the policy requires that self-administered medications be stored securely and that unauthorized medications found at the bedside be reported to the Charge Nurse. However, the facility did not follow these procedures for a resident diagnosed with multiple conditions, including ALS, depression, heart disease, diabetes, hypertension, cerebrovascular disease sequelae, and anxiety disorder. The resident was found to have unauthorized medications, specifically Fluticasone nasal spray and an Albuterol inhaler, at their bedside, which they were self-administering without proper assessment or documentation. These medications were not included in the resident's physician orders, indicating a lack of oversight and adherence to the facility's medication management policy. An LPN later confirmed that the resident should not have had these medications at the bedside and should not have been self-administering them, highlighting a deficiency in the facility's medication administration and monitoring processes.
Failure to Document Hospital Transfer
Penalty
Summary
The facility failed to document the necessity for transferring a resident to the hospital, which is a requirement for proper discharge and transfer procedures. Specifically, there was no documentation in the medical record for a resident who was transferred to the hospital. The facility's policy requires that any changes in a resident's medical or mental condition be recorded in their medical record, but this was not adhered to in the case of the resident in question. The resident had a complex medical history, including conditions such as cerebral infarction, hypertension, and dementia, among others. Despite this, there was no documentation in the nurses' notes explaining why the resident was discharged to the hospital. Interviews with facility staff, including an LPN and the Assistant Director of Nursing, confirmed the lack of documentation and that the only communication with the family was a phone call, with no written record of the notification.
Failure to Provide Resident-Centered Activities
Penalty
Summary
The facility failed to provide an ongoing program of activities tailored to the comprehensive assessment, care plan, and preferences of a resident with severe cognitive impairment. The resident, who has diagnoses including hypertensive chronic kidney disease, chronic obstructive pulmonary disease, and type 2 diabetes, expressed a preference for participating in any scheduled activities and indicated happiness when able to attend church. Despite these preferences, observations revealed that the resident spent significant time sitting at a table with staff but without engaging in any activities. Staff interactions were minimal, and the resident was not encouraged or assisted to participate in scheduled activities such as bingo or Bible study. Interviews with staff indicated a lack of documentation regarding specific activities provided to the resident, and the activity notes suggested a goal to offer in-room or daily activities to reduce loneliness or boredom. However, the resident expressed a desire to attend Bible study, which was not facilitated. The lack of engagement and failure to adhere to the resident's care plan and preferences resulted in the deficiency noted by surveyors.
Inadequate Supervision of Resident Smoking
Penalty
Summary
The facility failed to ensure adequate supervision and safety for a resident with severe cognitive impairment and multiple psychiatric and neurological diagnoses, who was investigated for smoking. The facility's smoking policy mandates a smoke-free environment and requires supervision in designated smoking areas. However, observations revealed that the resident was left unsupervised in the smoking area on multiple occasions, with staff from various departments lighting cigarettes for the resident without proper monitoring. The resident was known to dig in ashtrays and pick up cigarette butts, indicating a risk for unsafe smoking behavior. The resident's care plan identified a risk for injury related to smoking, with interventions including counseling on smoking hazards and designated areas, as well as observation during smoking. Despite these interventions, the resident was inaccurately assessed as a safe smoker, and the facility failed to provide the necessary supervision. Interviews with staff confirmed that the resident should have been deemed an unsafe smoker and required monitoring while smoking. The lack of accurate assessment and supervision led to the deficiency in ensuring the resident's safety.
Failure to Document Appropriate Diagnosis for Psychotropic Medication
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary psychotropic medications. Specifically, the facility did not provide an acceptable diagnosis for the use of Seroquel for a resident who was admitted with diagnoses including unspecified dementia without behavioral, psychotic, or mood disturbances, anxiety, depression, and other conditions. The resident's October 2024 Physician's Orders included Seroquel with an associated diagnosis of unspecified dementia and anxiety, but lacked a documented acceptable diagnosis for the psychotropic medication. The Pharmaceutical Consultant Report dated 10/10/2024 recommended providing an appropriate diagnosis for the use of Seroquel. However, the physician only addressed the request for a Gradual Dose Reduction (GDR) on 10/30/2024 and did not address the need for an appropriate diagnosis. This oversight was confirmed during an interview with the Director of Nursing, who acknowledged the failure to document an acceptable diagnosis for the use of Seroquel.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Farmerville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Farmerville Nursing And Rehabilitation Center, Llc | 1 mi | — | 0 | 0 |
| Bernice Nursing And Rehabilitation Center, Llc | 15.3 mi | — | 0 | 0 |
| Ruston Nursing And Rehabilitation Center, Llc | 19.2 mi | — | 1 | 0 |
| Ridgecrest Community Care Center | 21.8 mi | — | 0 | 0 |
| Landmark Nursing & Rehabilitation Ctr Of West Mon | 21.9 mi | — | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.