Arlington Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF804Jul 11, 2024

  Based on observations, review of a test tray, resident and staff interview, and policy review, the facility failed to ensure food was served at a palliative and warm food temperature. This affected Residents #11, #77, and #80 and had the potential to affect all residents who received meals from the kitchen except Resident #1 and Resident #99 who were nothing-by-mouth (NPO). The facility census was 94. Findings include: Interview with Resident #77 on 07/08/24 at 11:01 A.M. stated the food was cold. Resident #77 said they have warmers, but they were not using them at all meals. Resident #77 said the breakfast was normally cold. Interview with Resident #80 on 07/08/24 at 11:26 A.M. revealed the food was terrible, not appealing, and cold by the time it gets to them. […]

• No harm, potential for more than minimal, widespreadF812Sep 18, 2021

  Based on observation, record review and interview the facility failed to ensure food items were properly stored and prepared to prevent contamination and/or food borne illness. The facility also failed to maintain the kitchen food preparation countertops, equipment and distribution carts in a sanitary manner. This had the potential to affect all 106 residents who received food and/or beverages from the kitchen. Findings include: 1. On 09/16/21 at 11:27 A.M. observation of the kitchen revealed the pureed food preparation area to have multiple dried substances on the walls, countertops, the base of a blender and the base of a food processor. […]

• No harm, potential for more than minimal, widespreadF880Sep 18, 2021

  Based on observation, record review, Centers for Disease Control (CDC) guidance, facility policy and procedure review and interview the facility failed to ensure staff wore appropriate personal protective equipment (PPE) including N95 masks/respirators and face shields, while providing direct care to two residents (#105 and #70) during the Coronavirus (COVID-19) pandemic and while the facility was in outbreak status (facility staff or residents had recently tested positive for COVID-19) to prevent the spread of infection including COVID-19. This had the potential to affect all 106 residents residing in the facility. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF725Sep 7, 2021

  Based on staff interview, resident interview, family interview, review of resident council meeting minutes, observations, and medical record review the facility failed to provide adequate staffing to provide needed assistance to a resident who required staff assistance with personal care. This affected one of three residents reviewed for incontinence (Resident #48) with the potential to affect all residents in the facility. The facility census was 110. Findings include: Review of the medical record for the Resident #48 revealed an initial admitted [DATE] and a readmitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF880Jul 11, 2024

  Based on observation, record review, staff interview and facility policy review, the facility failed to maintain appropriate infection control practices in the area of isolation and enhanced barrier precautions (EBP). This affected two residents (#77 and #84) of 24 residents on isolation and/or EBP. Additionally, the facility failed to ensure proper hand hygiene was completed in between contact with each resident while serving meal trays. This had the potential to all nine residents (Resident #198, #86, #30, #199, #200, #74, #72, #63, and #201) residing on the facility's C unit who received a meal tray. The facility census was 94. Findings include: 1. […]