Archcare at Providence Rest

In the surveyor’s words

From the most serious findings on record at Archcare at Providence Rest, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 7, 2025

  Based on observation, record review, and interviews during the Recertification Survey conducted from 03/02/2025 to 03/07/2025, the facility did not ensure a resident received adequate supervision to prevent an accident. This was evident in one (1) (Resident #79) of six (6) residents reviewed for accidents out of 38 total sampled residents. Specifically, Resident #79, who was identified as high risk for falls and had a history of multiple falls, was not provided adequate monitoring or supervision. Subsequently, on 01/15/2025 at approximately 9:10 AM, Resident #79 had an unwitnessed fall in their room and sustained a fracture of the left femur (commonly known as the thigh bone). This resulted in actual harm to Resident #79 that was not Immediate Jeopardy. […]

• Actual harm, isolatedF689Oct 31, 2022

  Based on observation, interviews, and record reviews conducted during an abbreviated survey (NY00285529), the facility failed to ensure that adequate supervision and assistance devices were provided to prevent accidents. This was evident in 1 of 3 residents sampled for accidents (Resident #2). Specifically, Certified Nursing Assistant (CNA) #4 did not follow Resident #2's plan of care requiring two-persons assistance for toileting and bed mobility. Subsequently while changing resident #2's incontinence brief on 10/26/2021 at 4:20 AM, Resident #2 rolled out of the bed onto the floor. Resident #2 sustained cuts and an abrasion and was transferred to the hospital where they were diagnosed with a right hip fracture. […]

• No harm, potential for more than minimal, widespreadF725Aug 26, 2026

  Based on observation, record review, and interviews, the facility failed to ensure sufficient nursing staff were available to provide nursing and related services to residents in accordance with their assessed needs and plans of care. This was evidenced by review of facility Daily Staffing Reports and Payroll-Based Journal (PBJ) Staffing Data, which demonstrated recurrent staffing shortages, and by observations and interviews demonstrating delays in residents receiving nursing care and activities of daily living assistance. The findings include but is not limited to: Review of the Payroll Based Journal Staffing Data Report for Quarter 4 2025 (July 1 to September 30) and Quarter 1 2026 (October 1 to December 31) indicated excessively low weekend staffing. […]

• No harm, potential for more than minimal, widespreadF725Mar 7, 2025

  Based on the interviews, observations and record reviews conducted during the Recertification Survey from 3/02/2025 to 3/07/2025, the facility did not ensure that it had sufficient staff to provide nursing care and services to maintain the highest practicable physical, mental and psychosocial well-being of each resident. Specifically, the CASPER Payroll Based Journal Staffing Data report for 4th quarter 2024 triggered for low weekend staffing and review of staffing indicated that actual staffing levels were not maintained at par levels indicated in the Facility Assessment. […]

• No harm, potential for more than minimal, patternF583Aug 26, 2026

  Based on observation, record review, and interview, the facility failed to ensure residents' right to personal privacy was maintained. This was evident in nine (Residents #18, 19, 20, 21, 22, 23, 24, 25, and 26) of 21 residents reviewed for residents' rights. Specifically, an outside performer captured video footage of identifiable residents during a facility-sponsored activity and posted it to public social media platforms without the written consent of the residents or their representatives. […]