Arc at Dwight

In the surveyor’s words

From the most serious findings on record at Arc at Dwight, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 11, 2021

  Based on observation, interview and record review the facility failed to implement wheel chair safety interventions for one resident (R1) of three residents reviewed for accidents in the sample of three. This failure resulted in R1 being improperly transferred and R1's leg becoming entrapped under the wheelchair resulting in a fracture at the distal metaphysis of the right femur. Findings include: The facility's Adverse Event Policy, dated 11/2017, documents an adverse event is an untoward undesirable, and usually unanticipated event that causes death or serious injury, or the risk thereof, which includes near misses. On 3/10/21 at 8:45am, R1 was in a reclining chair with her legs elevated, crying. R1 stated that she cannot talk until the pain medications take effect. […]

• No harm, potential for more than minimal, widespreadF801Jun 17, 2026

  Based on observation, interview, and record review, the facility failed to employ a clinically qualified Director of Food and Nutrition Services. This failure has the potential to affect all 89 residents in the facility.Findings:On 6/14/2026 at 8:43 a.m., V7, Dietary Manager (DM), was actively supervising dietary services in the facility's kitchen. At this time, V7 stated that V7 serves as the full-time manager of the facility's food service department. V7 further stated that V7 had not yet obtained the qualifications of a Certified Dietary Manager (CDM) or Certified Food Protection Professional (CFPP), nor had V7 completed equivalent training. […]

• No harm, potential for more than minimal, widespreadF801Apr 18, 2025

  Based on observation, interview, and record review, the facility failed to provide a clinically qualified director of food and nutrition services. This failure has the potential to affect all 87 residents residing in the facility. Findings include: On 4/15/25 at 9:20 AM, V9, Dietary Manager, introduced herself as the dietary manager. During the ensuing tour of the facility kitchen, V9 was actively managing and directing kitchen support personnel and their food preparation and food storage activities. V9's food service certificate, issued 8/27/21, documents V9 was certified as a Food Service Manager. V9 stated the requirements for this certificate were to review course material for approximately eight hours in a single day and take a test. […]

• No harm, potential for more than minimal, widespreadF802Apr 18, 2025

  Based on interview and record review, the facility failed to provide certified food handlers for the meal service and food preparation operations. This failure has the potential to affect all 87 residents residing in the facility. Findings include: On 4/15/25 at 9:20 AM, V9, Dietary Manager, stated there were three Dietary Aides (V10, V11, and V12) who did not yet have a Food Handler's certificate. The Illinois Public Act [PHONE NUMBER], documents a food handler or food employee is defined as any individual working with unpackaged food, food equipment, utensils, or food contact surfaces. […]

• No harm, potential for more than minimal, widespreadF801Apr 4, 2024

  Based on observation, interview, and record review the facility failed to provide the services of a clinically qualified director of food and nutrition services. This failure has the potential to affect all 77 residents residing in the facility, with R18 being one exception. Findings Include: On 4/2/24 at 9:44 AM, V5 Dietary Manager stated, I am the Dietary Manager. I started here as the manager in 2019. I have an FSM (Food Service Manager, cooking sanitation certificate) certificate. The FSM took one day to get. It was a one day course of study and take a test. I also have a CFM (Certified Food Manager, cooking sanitation certificate) certificate which is basically the same course of study and take a test that also took one day. […]