Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ARBORS WEST

WEST JEFFERSON, OH · 94 certified beds · Last Life Safety survey March 27, 2025

CMS Certification Number 365426 · first certified October 1979

Ownership

Operated by ARBORS AT OHIO · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

23
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within OH

23 citations — more than 73% of the 922 certified nursing homes in OH. Compared within OH rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 2 months from now. This facility’s last Life Safety survey was March 2025. Facilities in OH are typically surveyed 20–32 months after the last one (median 26), measured over 889 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 23 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.

This facility23OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility23
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
32019-06132022-0472025-03
Citations at each Life Safety survey
Survey dateCitations
June 27, 20193
April 12, 202213
March 27, 20257

Most-cited tags

Most-cited tags at this facility
K-05112K-09182K-03532K-07412K-03211K-03511K-03241K-02911
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0511Have properly installed electrical wiring and gas equipment.22025-03-27
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-03-27
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-03-27
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.22025-03-27
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12022-04-12
K-0351Install an approved automatic sprinkler system.12022-04-12
K-0324Provide properly protected cooking facilities.12019-06-27
K-0291Install emergency lighting that can last at least 1 1/2 hours.12022-04-12

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Miscellaneous Deficiencies 5
  • Egress Deficiencies 3
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies6
Miscellaneous Deficiencies5
Egress Deficiencies3
Services Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 27, 2025 — 7 citations

Citations issued on March 27, 2025
TagWhat the surveyor checksStatus
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (April 30, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 30, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 30, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 30, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 30, 2025)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (April 30, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 30, 2025)

April 12, 2022 — 13 citations

Citations issued on April 12, 2022
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (April 29, 2022)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (April 29, 2022)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 29, 2022)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (April 29, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 29, 2022)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (April 29, 2022)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (April 29, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 29, 2022)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (April 29, 2022)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (April 29, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 29, 2022)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 29, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 29, 2022)

June 27, 2019 — 3 citations

Citations issued on June 27, 2019
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 26, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 26, 2019)
K-0913Ensure operating rooms are properly protected and written records are maintained and available for inspection.Deficient, Provider has date of correction (July 26, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.