Arcadia Care Watseka

In the surveyor’s words

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

• Immediate jeopardy, widespreadF600Jun 14, 2023

  Failures at this level required more than one deficient practice statement. A. Based on observation, interview, and record review the facility failed to protect a resident's (R9) right to be free from physical and mental abuse by V24 Certified Nurse's Assistant (CNA) and V25 CNA. This failure resulted in V24 and V25 taking away R9's walker, hiding it from R9, pushing R9, striking R9 on the arm, and then hitting R9 forcefully in the face with a clothing protector, resulting in R9 having a catastrophic reaction in which R9 became combative with V24 and V25 and R9 being removed from the facility by emergency services and taken to the emergency room . B. […]

• Immediate jeopardy, patternF600Jul 8, 2026

  Failures at this level required more than one Deficient Practice Statement. A. Based on observation, interview, and record review, the facility failed to protect the residents' right to be free from sexual abuse by another resident, failed to identify repeated sexual predatory behaviors and implement interventions to address these behaviors for R9, resulting in psychosocial harm of R10 and R11, who voiced expressions of fear of R9, and resulted in R9 sexually abusing R5 and R15, for six (R5, R9, R10, R11, R15) of 14 residents reviewed for abuse in the sample list 20. These failures also put other residents in the facility at risk for psychosocial impact, including not limited to emotional harm, loss of dignity, and feeling afraid, as well as being at risk for further abuse from R9. […]

• Immediate jeopardy, patternF698Sep 21, 2022

  Based on observation, interview, and record review the facility failed to have an active contract with a [CONDITION(S)] center, regularly communicate with the [CONDITION(S)] center to coordinate care, and assess [CONDITION(S)] access sites for three (R35, R42, R57) of three residents reviewed for [CONDITION(S)] in the sample list of 47. Findings include: The facility's [CONDITION(S)] policy dated as revised January 2022 documents: [CONDITION(S)] is an artificial kidney treatment that eliminates wastes, removes excess fluid, filters electrolytes in the blood, and controls blood pressure. A [MEDICATION(S)] catheter is a flexible tube inserted into a vein under the collarbone, and is covered with a dressing that is only removed for [CONDITION(S)]. […]

• Immediate jeopardy, patternF698Jul 7, 2022

  Based on record review and interview, the facility failed to ensure that R22 received the scheduled services for hemodialysis per physician orders. R22 is one of three residents reviewed for hemodialysis in the sample of twenty-three. Findings include: R22's Physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . R22 has orders for hemodialysis three times a week, Tuesday, Thursday and Saturday. R22's Nursing Notes dated [DATE] document R22 as being positive for Covid. R22's Nursing Notes dated [DATE] document that (R22) remains on isolation protocols per Covid positive. There is no further documentation on R22's condition or status in the Medical Chart between [DATE] and [DATE]. R22's Nursing Note dated [DATE] at 7:40 am and documents that R22 reported being short of breath. […]

• Immediate jeopardy, isolatedF604Jul 8, 2026

  Based on observation, interview, and record review, the facility failed to ensure a resident (R1) was free from physical restraints applied for staff convenience; failed to assess for the use of physical restraints; failed to identify the specific medical symptoms justifying the use of a physical restraint; failed to notify the resident's representative; and failed to obtain a physician's order for physical restraints for one (R1) of three residents reviewed for restraints in the sample of 20. These failures put R1 at risk for psychosocial impact that includes but is not limited to emotional harm, dehumanization, pain, loss of dignity, self-respect, feeling of imprisonment, increased agitation and restlessness and at risk for serious physical injury. […]