Arden Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jul 27, 2026

  Based on clinical record review, facility documentation review, facility policy review, and interviews for one of two residents (Resident #1), reviewed for wandering, the facility failed to ensure adequate supervision for a resident with a known wandering behaviors identified at risk for elopement to ensure the resident was not able to exit the facility without staff knowledge, and failed to ensure hourly rounds were conducted in accordance with facility policy. The facility was notified after the resident was observed in a neighboring town 5.3 miles from the facility, and video surveillance identified Resident #1 was out of the building for approximately two hours. The failures resulted in a finding of Immediate Jeopardy. […]

• Immediate jeopardy, isolatedF760Mar 7, 2024

  Based on clinical record review, facility documentation review, policy review, and interviews for one of three residents (Resident #1) reviewed for medication errors, the facility failed to ensure medications were administered in accordance with physician orders, resulting in a significant medication error and hospital admission. The failures resulted in a finding of Immediate Jeopardy. The finding includes: Resident #1's diagnoses included epilepsy, cerebral palsy, and a history of aspiration pneumonia. […]

• Immediate jeopardy, isolatedF689Oct 19, 2023

  Based on observations, clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed for accidents, the facility failed to ensure adequate supervision and failed to ensure interventions were implemented for the safety of Resident #1 when Resident #1, known to have severe cognitive impairment, eloped from the facility. Resident #1 left the facility without staff knowledge, unescorted, unsupervised and was not located for more than 2 hours and was located approximately 6 miles from the facility. The failures resulted in a finding of Immediate Jeopardy. […]

• Immediate jeopardy, isolatedF689Jul 25, 2023

  Based on clinical record reviews, facility documentation, facility policy and interviews for one of two sampled residents (Resident # 2) who were reviewed for accidents, the facility failed to ensure adequate supervision was provided to a resident with a swallowing disorder and known to impulsively reach for other residents' food items who subsequently experienced a significant choking episode after acquiring access to a food item that was left unattended which resulted in a finding of Immediate Jeopardy. The findings include: Resident # 2's diagnoses included dementia and dysphagia (a swallowing disorder with difficulty swallowing). […]

• Immediate jeopardy, isolatedF689May 17, 2023

  Based on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #4), reviewed for wandering, the facility failed to ensure staff verified that the wander guard bracelet was functioning and that the generator room door was secured, and as a result the resident eloped from the facility, was located 0.3 miles away, and staff were unaware he/she was not in the facility from 4:15 AM until notified by a caller from the apartment complex at approximately 6:50 AM (2 hours and 33 minutes). The failures resulted in a finding of Immediate Jeopardy, past non-compliance. The finding includes: Resident #4 was admitted with diagnoses that included dementia with psychotic disturbance, orthostatic hypotension, and hallucinations. […]