Archway Transitional Care Center

In the surveyor’s words

From the most serious findings on record at Archway Transitional Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jan 16, 2026

  Based on staff and resident interviews, record reviews and a review of the facility's policies titled Abuse Prohibition - Reporting and Investigating and Abuse Prohibition, the facility failed to protect one Resident's (R) (R1) right to be free from sexual abuse by a resident (R2). Additionally, the facility failed to provide adequate protection for R1 while investigating the allegation of sexual abuse by R2. The facility sample size was 18.On January 12, 2026, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents.The facility's Administrator, Director of Nursing (DON), and the Divisional Nurse Consultant were informed of the Immediate… […]

• Immediate jeopardy, isolatedF835Jan 16, 2026

  Based on interviews, record reviews, and review of the job descriptions for the Administrator and the Director of Nursing (DON), the facility Administration failed to ensure that one Resident (R) (R1) was protected from sexual abuse by a resident R2 and failed to provide adequate protection of R1 while conducting an investigation of an allegation of sexual abuse from R2. The sample size was 18.On January 12, 2026, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents.The facility's Administrator, Director of Nursing (DON), and the Divisional Nurse Consultant were informed of the Immediate Jeopardy (IJ) on January 12, 2026, at 10:47 am. […]

• No harm, potential for more than minimal, widespreadF814Aug 25, 2024

  Based on observations, staff interviews, and a review of the facility policy titled, Storage Areas, the facility failed to ensure the dumpster area was maintained in sanitary conditions. The deficient practice had the potential to promote the harboring of pests, insects, and other organisms. The facility census was 89 residents. Findings include: A review of the facility policy titled, Storage Areas, dated 12/29/2023, revealed the section titled Dumpster included, Area should be free of trash and debris. Containers should be kept in good condition and covered. Observations on 8/23/2024 at 8:45 am of the facility dumpster area with the Dietary Manager (DM) revealed two of the three dumpster lids were badly damaged and did not allow a secure closure. […]

• No harm, potential for more than minimal, widespreadF812Feb 26, 2023

  Based on observations, staff interviews, and a review of the facilities policies titled, Labeling and Dating Guidelines, Skilled Nursing Services Food Preparation and Distribution, Ready 365 Best Practice Standard of the Week: Thawing, and Skilled Inpatient Services Cleaning and Sanitizing the facility failed to label and date food in the walk-in freezer; failed to properly store stack pans to prevent wet-nesting; failed to properly thaw frozen food items to prevent foodborne illness; and failed to hold food items on the steam table above 135 degrees. The facility census was 77 with 73 residents consuming an oral diet. These failures had the potential of causing bacterial growth associated with foodborne illness. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF814Feb 26, 2023

  Based on observations and staff interviews the facility failed to ensure the area behind the dumpsters was properly maintained and free from debris. This failure had the potential to attract pests and transfer microorganisms. Findings include: Observation on 2/25/2023 at 8:40 a.m. of the dumpster area revealed that the facility had three medium sized dumpsters located on the side of the building. The area behind the dumpsters had a wire fence separating the facility campus from a residential home. Between the dumpsters and the wire fence was brush. Continued observation revealed that the area behind the dumpsters in the brush on the ground were multiple Styrofoam cups, two-eight ounce cups, and two-12 ounce cups. The area also had three Styrofoam take-out containers. […]