Arc at El Paso

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jul 10, 2024

  Based on interview and record review, the facility failed to provide supervision to a resident identified as an elopement risk, who had been exhibiting an increase in verbalizations of exit seeking behavior. On the morning of 05/18/24, R1 removed his (elopement alert bracelet) and exited the facility unnoticed. R1 was later found propelling his wheelchair approaching a road containing a high volume of traffic. R1 was one of three residents reviewed for wandering/elopement in the sample of three. These failures resulted in an Immediate Jeopardy. […]

• Immediate jeopardy, isolatedF600Jun 9, 2021

  Based on interview and record review, the facility failed to ensure a resident was free from sexual abuse for one resident (R1) of three residents reviewed for abuse in the sample of three. This failure resulted in R1 being sexually abused on 5/16/21 by V3 (Certified Nursing Assistant). This failure resulted in an Immediate Jeopardy. While the immediacy was removed on 5/21/21, the facility remains out of compliance at Severity Level 2 while the facility continues employee education and training on abuse specifically related to the following: The need to report suspicious activity to the Abuse Coordinator (V1); the need to report instances of potential sexual abuse and that all residents have the right to be free from sexual abuse; and the definition of sexual abuse. […]

• Actual harm, isolatedF689May 28, 2026

  Based on observation, interview and record review the facility failed to serve hot foods in a sturdy bowl, this failure caused R8 to spill hot chili on her chest causing a burn with blistering that required treatment for one resident (R8) reviewed for a burn injury in a total sample of thirty eight. Findings include:R8's Medical Record documents she was admitted to the facility on Hospice services on 12/10/2024 with diagnosis to include but not limited to Congestive Heart Failure, Atrial Fibrillation and Dementia. R8's Medical Record documents she is cognitively impaired and has short term memory problems. Throughout the survey R8 did not recall the incident on 3/24/26 with chili. […]

• Actual harm, isolatedF600Mar 29, 2023

  Based on observation, interview and record review, the facility failed to prevent three incidents of abuse, and failed to ensure residents felt safe in their home for five (R1-R4 and R6) of five residents reviewed for abuse in a sample of six. These failures resulted in R3 sustaining a skin tear from an incident involving R1; and R3, R4 and R6 verbalizing psychosocial feelings including intimidation and fear of R1. Findings include: Facility Resident Rights for People in Long-Term Care Facilities, revised 3/2017, documents You have the right to safety and good care where your facility must provide services to keep your physical and mental health, and sense of satisfaction. […]

• No harm, potential for more than minimal, widespreadF812May 28, 2026

  Based on observation, interview, and record review, the facility failed to prepare and serve food under sanitary conditions by not cleaning a debris/grime covered exhaust vent located above kitchen food preparation area. This failure has the potential to effect all 55 residents residing in the facility.Centers for Medicare and Medicaid Services [CMS] Form 671 [Long-term Care Facility Application for Medicare and Medicaid], dated 5/26/26, signed by V1/Administrator, document 55 residents reside in the facility. On 5/27/26, at 11:30 a.m., the exhaust vent, located above the kitchen's food preparation area, was covered with debris/grime. On 5/27/26, at 11:30 a.m., V7/Regional Dietary Manager confirmed the exhaust vent, above the food preparation area, should be cleaned. […]