Arcadia Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Arcadia Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF554Nov 21, 2024

  Based on observations, interviews, electronic medical record (EMR), and facility policy review, the facility failed to ensure the interdisciplinary team assessed and determined if a resident was capable of self-administration of medications for 2 of 23 residents sampled for self-administration of mediation. (Residents #118 and #392) The findings include: Resident #392 On 11/18/24 at 11:30 AM, Resident #392 was observed with a tube of Triamcinolone Acetonide (a cream meant to treat skin conditions such as eczema, dermatitis, and allergies) at the bed side. Resident #392 stated he uses this for general itching. […]

• No harm, potential for more than minimal, isolatedF584Nov 21, 2024

  Based on observation and staff interview, the facility failed to store resident care equipment in a sanitary manner in 3 of 24 sampled resident rooms. (rooms [ROOM NUMBER]) The findings include: An observation of room [ROOM NUMBER]'s bathroom was conducted on 11/18/24 at 4:02 PM. Three wash basins (2 labeled with 64 A and one not labeled) and an unlabeled bedpan were observed to be sitting on top of the sink. Further observations of room [ROOM NUMBER]'s bathroom was conducted in the presence of Employee F, the Licensed Practical Nurse Unit Manager, on 11/20/24 at 3:00 PM. Employee F observed and confirmed 3 basins stacked on top of each other and one unlabeled bedpan on top of the sink. She stated the items should be stored in the resident's bed side drawer. […]

• No harm, potential for more than minimal, isolatedF656Nov 21, 2024

  Based on observations, interviews, and record reviews, the facility failed to implement the plan of care for 2 of 2 residents sampled for falls. (Residents #46 and #3) The findings include: On 11/18/24 at approximately 11:00 AM, Resident #46 was observed sitting on the fall mat beside the bed. Resident #46 was assisted by staff to return to their wheelchair. A review of the most recent care plan for Resident #46, dated 09/16/2024, described Resident #46 as having potential for falls/injury due to impaired safety awareness, being spontaneous, not remembering to use the call light or ask for assistance, and forgetting to use a walker. […]

• No harm, potential for more than minimal, isolatedF582Jan 17, 2024

  Based on interview and record review, the facility failed to provide a Notice of Medicare Non-coverage for 1 of 6 residents reviewed. (Resident #8) The findings include: A review of the medical record on 1/16/2024 found no evidence of a Notice of Medicare Non-Coverage (NOMNC) issued to Resident #8 or the resident's representative. In an interview on 1/16/2024 at approximately 2:10 PM, the Director of Nursing (DON) was asked if Resident #8 had run out of Medicare covered days. She stated that, upon admission from the resident's previous facility, they thought Resident #8 had only utilized 32 bed days while at that facility. Resident #8 would have had 8-10 days left upon her discharge in September. They had not realized she had used 62 days at the previous facility. […]

• No harm, potential for more than minimal, isolatedF554Jun 22, 2023

  Based on observations, resident interview, staff interviews, record review, and policy review, the facility failed to ensure the interdisciplinary team assessed and determined a resident was capable of self-administration of medications prior to allowing 1 of 33 sampled residents to self-administer medications. (Resident #106) The findings include: An observation and interview was conducted with Resident #106 on 6/20/2023 at 4:22 PM. A partial bottle of lanthanum carbonate, a partial Symbicort inhaler, and a bottle of Dakin's solution was observed to be sitting on the overbed table. Resident #106 stated he administers the lanthanum carbonate (a phosphate binder) himself because it must be taken when he eats. […]