Arkansas City Presbyterian Manor

In the surveyor’s words

From the most serious findings on record at Arkansas City Presbyterian Manor, in the surveyor’s own words.

• Actual harm, isolatedF760Jul 22, 2021

  The facility reported a census of 38 residents, with three residents sampled for medication administration. Based on observation, interview, and record review the facility failed to ensure the medication regimen was free of significant medication errors for one of the residents sampled. Staff administered anti-hypertensive medications without a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings included: - Review of Resident (R)4 's Physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident did not have a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The Entry Minimum Data Set (MDS) dated [DATE] revealed the resident admitted to the facility on [DATE]. The Baseline Care Plan dated 07/15/21 directed the staff the resident was able to verbalize her needs. […]

• No harm, potential for more than minimal, widespreadF812Aug 13, 2025

  The facility reported a census of 46 residents with one kitchen. Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions, to prevent the potential for food borne illness and decreased palatability. This puts the residents at risk for illness and weight loss. Findings included: During an initial tour of the resident kitchen on 08/11/25 at 09:05 AM, the following areas of concern were noted in the freezer:Two Ziplock bags of hamburger patties were unsealed, and the bag was wide open, exposing the contents to air.A Ziplock bag of chicken strips was unsealed, and the bag was wide open, exposing the contents to air.A Ziplock bag of potato wedges was unsealed, and the bag was wide open, exposing the contents to air.During the… […]

• No harm, potential for more than minimal, widespreadF812Mar 7, 2024

  The facility reported a census of 37 residents. Based on observation, interview, and record review, the facility failed to store foods safely and in sanitary conditions due to the staff failure to date and properly seal food items and removal of undated bread items to prevent the possible spread of food borne illness. Findings included: - On 03/04/24 at 08:20 AM during the initial tour of the kitchen, and follow-up tour on 03/05 at 12:35 PM with dietary staff D, revealed the following areas of concern: The Kitchen refrigerator: There were 17 facility made Sugar free health shakes that lacked a prepared date. […]

• No harm, potential for more than minimal, isolatedF689Aug 13, 2025

  The facility reported a census of 46 residents. The sample included 16 residents, which included seven residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to provide an environment free of accident hazards when Certified Nurse Aide (CNA) M assisted a cognitively impaired resident, Resident (R) 46, with locomotion in the hallway without the use of wheelchair pedals. This deficient practice placed R46 at risk for accidents.Findings included:- Review of the Electronic Health Record (EHR) documented R46 had diagnoses which included dementia (a progressive mental disorder characterized by failing memory and confusion), long-term use of anticoagulants (a class of medications used to prevent the blood from clotting), and generalized muscle… […]

• No harm, potential for more than minimal, isolatedF880Aug 13, 2025

  The facility reported a census of 46 residents. Based on observation, interview and record review, the facility failed to maintain an effective infection control program related to the delivery of laundry to the residents' rooms. This deficient practice had the potential to lead to the cross-contamination and spread of communicable diseases to the residents of the facility.Findings included:On 08/11/25 at 10:35 AM, Laundry V and Laundry W were observed delivering laundry to three resident rooms. Laundry V and Laundry W did not perform hand hygiene before they entered the residents' rooms or after they exited the residents' rooms. […]