Arcadia Care Morton

In the surveyor’s words

From the most serious findings on record at Arcadia Care Morton, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Apr 2, 2024

  Based on interview and record review, the facility failed to prevent abuse for one resident (R2) of three residents reviewed for abuse in a sample of 15. This failure resulted in R2 being sent to the hospital diagnosed with an orbital fracture and suffering psychosocial harm that any reasonable person would after being abused. This past non-compliance, which involved R2, occurred from 3/09/23 to 3/14/23. This failure resulted in an Immediate Jeopardy. Prior to the survey date of 3/29/2024, the facility had taken the following actions to correct the non-compliance: 1) Immediate actions taken for those residents identified: On 3/9/24, R2 was assessed and sent to the hospital. On 3/11/24, R2's Abuse screening and Care Plan were reviewed and updated accordingly. […]

• Immediate jeopardy, isolatedF689Feb 23, 2024

  Based on observation, interview, and record review, the facility failed to provide adequate supervision during a facility fire as directed by the facility's policy for a known wandering resident with Dementia, failed to ensure staff were aware of the exit doors being unlocked when the fire alarm sounded and their responsibility to monitor wandering, confused residents during an emergency, and failed to keep the Wandering Resident binders updated, completed, and accessible for two (R2 and R9) of three residents reviewed for Elopement risk in a sample of 10. […]

• Immediate jeopardy, isolatedF610Jul 26, 2023

  Based on interview and record review V4 (Registered Nurse) failed to recognize verbal abuse as abuse, and failed to immediately report an allegation of verbal abuse to (V1/Administrator) for one resident (R1) reviewed in a sample of three. V4 also failed to protect R1 when V4 instructed the alleged perpetrator (V3/Certified Nursing Assistant) to assist R1 who made allegations of abuse with cares that evening. These failures resulted in an Immediate Jeopardy. While the immediacy was removed on 7-26-23, the facility remains out of compliance at a severity Level II as the facility continues to have the Administrator/Designee complete random interviews of both staff and residents three times a week for 12 weeks to ensure there are no active Allegations of Abuse. […]

• Immediate jeopardy, isolatedF689Sep 1, 2021

  Based on observation, interview, and record review, the failed to accurately assess a resident for a risk of elopement, develop an elopement plan of care for a moderately impaired resident at risk for elopement, provide adequate supervision to prevent a resident's elopements, inform/educate direct care staff of a resident's multiple elopements and elopement risks, and failed to notify the Physician and Administrator of a resident's elopement for one of three residents (R1) reviewed for elopement in the sample of three. […]

• Actual harm, widespreadF880Sep 19, 2023

  Based on observation, interview, and record review, the facility failed to implement infection control procedures of testing COVID-19 symptomatic staff members, perform contact tracing testing on staff and residents with direct exposure to the COVID-19 positive staff member and resident, and perform facility wide testing to prevent the potential spread of a highly contagious and potentially deadly disease to residents and staff. Direct care staff, while working with signs and symptoms of COVID-19 (headache, fatigue, and body aches) unnecessarily exposed residents to an infectious disease. These failures had the potential to affect all 77 residents residing within the facility. […]