Arcadia Care Toulon

In the surveyor’s words

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

• Immediate jeopardy, isolatedF603Mar 3, 2026

  Based on observation, interview and record review, the facility failed to ensure one of 21 residents (R10) was free from involuntary seclusion, failed to ensure criteria was met for admission to the Secured Dementia Unit and failed to follow physician's guidance for resident's wellbeing to prevent a change in condition reviewed in a sample of 41.These failures resulted in R10, a cognitively intact resident with admitting diagnoses of Post-Traumatic Stress Disorder and Generalized Anxiety, to be admitted to the Secured Dementia Unit on 1/30/26 and remained in the unit until 2/26/26.These failures resulted in Immediate Jeopardy.The Immediate Jeopardy was noted to begin on 1/30/26, when the facility failed to ensure a resident was free from Involuntary Seclusion when a cognitively intact… […]

• Actual harm, widespreadF835Mar 3, 2026

  :Based on observation, interview and record review, the facility failed to provide adequate administrative oversight to ensure the facility implemented their policies for protecting resident's dignity, be free of involuntary seclusion and restraints, accurately assessed residents and provided quality of care based on those assessments, services were provided to meet professional standards, ADL (Activities of Daily Living) cares were provided for dependent residents, medications were safely administered, infection prevention measures were implemented and appropriately utilized, staff were qualified and competent and maintained a safe/ clean/comfortable environment. […]

• Actual harm, isolatedF689Aug 26, 2026

  Based on interview and record review, the facility failed to implement fall interventions, appropriately assess a fall, and provide supervision for residents at risk for falls for two of three residents (R1, R3) reviewed for falls in a sample of four. This failure resulted in R1 sustaining an acute transcervical right femoral fracture requiring surgical intervention and subsequently passing away. R3 sustained a chest fracture of the right posterior 11th and 12th ribs. R3's Cervical Spine CT documents a chalk stick fracture that involved the C5 (cervical) vertebral body and extended into the intervertebral disk as C4/C5 and through the anterior osteophytes Findings include: The facility's Fall Prevention Program, effective 01/2026, documents that the program will include measures that… […]

• Actual harm, isolatedF684Mar 3, 2026

  Based on observation, interview and record review, the facility failed to assess a resident's change in condition and ensure diagnostic tests were completed as ordered for one of two residents (R1) with a change in condition, in a sample of 41. This failure resulted in R1 being transferred to the hospital with a diagnosis of RSV (Respiratory Syncytial Virus), Findings include: The Licensed Practical Nurse (LPN) and Registered Nurse (RN) job descriptions, dated 7/2023, documents to chart nurse's notes in an informative and descriptive manner that reflects the care provided to the residents, as well as the resident's response to the care. The nurse must be knowledgeable of nursing and medical practices and procedures. […]

• Actual harm, isolatedF600May 14, 2025

  Based on observation, interview, and record review, the facility failed to protect two cognitively impaired residents (R1, R8) who were at risk for abuse; and failed to prevent resident to resident physical abuse by two cognitively impaired residents (R2, R9). This failure affected 4 of 4 residents (R1, R2, R8 & R9) reviewed for abuse in a sample of 9. The failure resulted in R2 placing both of his hands around R1's neck and forcefully squeezing into R1's neck; and resulted in R8 being physically punched in the face with a closed fist by R9. Findings include: The final abuse investigation report provided by V1 (Administrator) documented an incident date of 04/27/2025 and indicated, resident was noted to have his peer put his hands around his neck. […]