Arcadia Valley Skilled Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Arcadia Valley Skilled Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Sep 18, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on closed record review, review of the facility's timeline and related investigation, review of an emergency medical services (EMS) run report, staff interview, review of employee files, and policy review, the facility failed to provide basic life support, including CPR, to Resident #44 as per the resident's advance directives, when the resident was found unresponsive and without a pulse/ heartbeat. This resulted in Immediate Jeopardy and serious life-threatening harm, negative health outcomes, and subsequent death on [DATE] at 10:30 P.M. […]

• No harm, potential for more than minimal, widespreadF812Mar 26, 2026

  Based on observation, interview, and policy review the facility failed to ensure food was stored in accordance with professional standards for food service safety. This had the potential to affect 37 residents. The census was 37.Findings include: Observation of the kitchen beginning at 8:34 A.M. on 03/23/26 revealed two packs of nickels hot dog buns expired as of 03/08/26, two packs of hamburger buns expired as of 03/15/26.In the stand up freezer one open improperly sealed, undated, and unlabeled bag of 2 meat patties was observed.One bag containing several portioned pieces of cookie dough were opened, improperly sealed, unsealed, and unlabeled.One bag containing several hot dogs was opened, and unsealed.One bag containing 5 chicken patties was undated.One half- pound package of ground… […]

• No harm, potential for more than minimal, widespreadF812May 20, 2024

  Based on observation and interview, the facility failed to store and prepare food in a sanitary manner. This had the potential to affect 42 of 42 residents at the facility. Findings included: Observation during an initial tour of the kitchen with Dietary Manager (DM) #142 on 05/13/24 at 8:54 A.M. revealed two bags of salad with a best by date of 05/12/24 in the refrigerator. DM #142 confirmed findings. Continuous observations of the lunch tray line were made on 05/15/24 from 12:14 P.M. to 12:44 P.M. revealed: 1. Dietary Aide (DA) #109 used the back of her right wrist to rub her nose. DA #109 did not change her gloves or wash her hands. 2. Seven trays were sent out to be served on the [NAME] hallway with bowls of grapes left open to air. 3. […]

• No harm, potential for more than minimal, widespreadF812Aug 23, 2023

  Based on observation, interview, and facility policy review, the facility failed to ensure food storage and food handling was completed in a sanitary manner, failed to ensure pest control in the kitchen, failed to ensure food service equipment was clean, and failed to maintain documentation of food temperatures prior to serving, dishwasher sanitation requirements being met, and sanitation bucket requirements being met. This had the potential to affect 42 of 43 residents receiving food from the kitchen. Facility documentation revealed Resident #42 did not receive any food by mouth. Findings included 1. Observation on 08/21/23 at 7:45 A.M. […]

• No harm, potential for more than minimal, widespreadF880Aug 23, 2023

  Based on observation, interview, and facility policy review, the facility failed to ensure staff wore appropriate personal protective equipment when the facility was in COVID-19 outbreak, performed hand hygiene, did not touch items with soiled gloves, and cleaned and disinfected a glucometer used by multiple residents. This affected Residents #7, #27, and #29 and had the potential to affect all 43 residents. Findings included: 1. Observation on 08/21/23 at 7:30 A.M., upon entrance into the facility, of a sign on the exterior main entrance door which informed anyone entering the building the facility was in a COVID-19 outbreak. Observation on 08/21/23 at 7:31 A.M. of Licensed Practical Nurse (LPN) #95 and Registered Nurse (RN) # 100 sitting at the east nurses' station not wearing any masks. […]