Arbor Walk Healthcare Center

In the surveyor’s words

From the most serious findings on record at Arbor Walk Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF580Jul 10, 2024

  Based on staff interview, record review and facility policy review, the facility failed to notify the Nurse Practitioner (NP) of Registered Dietitian (RD) recommendations for a resident with significant weight loss (Resident #1) and a change in condition (Resident #2) for two (2) of six (6) residents reviewed for physician notification. Findings include: Record review of the facility policy titled, Change in a Resident's Condition or Status revealed, Policy Statement, Our facility shall promptly notify the resident, his or her Attending Physician .of changes in the resident's medical/mental condition and/or status . […]

• Actual harm, isolatedF656Jul 10, 2024

  Based on record review, staff interview and facility policy review the facility failed to implement care plan interventions to prevent significant weight loss for one (1) of seven (7) care plans reviewed. Resident #1. Findings include: Record review of the facility policy titled, Care Plans-Comprehensive revised September 2010, revealed, Policy Statement: An individualized comprehensive care plan that includes measurable objectives and timetables to meet resident's medical, nursing, mental and psychological needs is developed for each resident .5. Care plan interventions are designed after careful consideration of the relationship between the resident's problem areas and their causes. […]

• Actual harm, isolatedF692Jul 10, 2024

  Based on record review, staff interview and facility policy review the facility failed to put interventions in place for a resident identified as having had significant weight loss for one (1) of four (4) residents reviewed for weight loss. Resident #1. Findings include: Review of the facility policy, titled Weight Assessment and Interventions, revised September 2008, revealed Policy Statement: The multidisciplinary team will strive to prevent, monitor and intervene for undesirable weight loss for our residents. Policy Interpretation and Implementation, Weight Assessment .5. Any Registered Dietitian Recommendations will be forwarded to the resident's Physician for action as indicated. Subsequent Physician orders will be provided to the facility within 72 hours. […]

• No harm, potential for more than minimal, widespreadF812Sep 28, 2023

  Based on observation, staff interviews, record review, and facility policy review, the facility failed to maintain clean ice machines, as evidenced by observations during the annual survey of two (2) of 2 unclean ice machines. Findings include: Review of the facility policy titled, Ice Machines and Ice Storage Chests, with a revised date of January 2012, revealed Policy Statement: Ice machines and ice storage/distribution containers will be used and maintained to assure a safe and sanitary supply of ice. 4. Ice machines . […]

• No harm, potential for more than minimal, patternF623Apr 16, 2025

  Based on staff interview, record review, and facility policy review, the facility failed to provide proper notice of a hospital transfer for one (1) of two (2) residents reviewed for hospitalizations. (Resident #41) Findings include: Review of the facility policy titled, Transfer or Discharge-Facility Initiated, last revised October 2022, revealed, Notice of Transfer or Discharge (Emergent or Therapeutic Leave)- 4.) Notice of Transfer is provided to the resident and representative as soon as practicable before the transfer and to the long-term (LTC) Ombudsman when practicable (e.g. […]