Arlington Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Arlington Health and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Aug 23, 2024

  Based on interview and record review, the facility failed to provide the needed assessments and timely treatment for 1 of 1 residents (Resident 1) reviewed for an unexpected hospitalization , who experiences ongoing abdominal pain and discomfort for at least two days to the extent that staff moved the roommate out of the room and closed the door because the resident was calling out in pain. The resident experienced harm when treatment was delayed for several hours and there was a lack of effective communication with the physician. The resident was sent to the hospital the next morning and passed away shortly after admission to the hospital. The disregard of the pain the resident experienced and recognizing the need to take timely action constituted an immediate jeopardy. […]

• Actual harm, isolatedF600Aug 23, 2024

  Based on interview and record review the facility failed to provide necessary care and services to prevent neglect for 1 of 3 residents (Resident 1) reviewed for abuse and neglect. Licensed staff was aware of the change in condition and abdominal pain experienced by Resident 1 yet did not conduct a thorough assessment or consult with the physician timely and left the resident alone in their room and in pain during the night shift with door closed for at least 30 minutes. The lack of addressing the residents needs placed all residents at risk for neglect. […]

• Actual harm, isolatedF684Jul 10, 2023

  Based on interview and record review, the facility failed to ensure 1 of 1 residents reviewed for burn injuries (Resident 2) received a timely wound care consultation by a wound care specialist and received ordered medications. Resident 2 experienced harm when they required extensive debridement (to remove dead, damaged, or infected tissue of a wound) at the hospital, and the lack of effective wound management placed all residents at risk for skin breakdown. Findings included . […]

• Actual harm, isolatedF626Dec 14, 2021

  Based on interview and record review, the facility failed to consider readmission of one of one resident (4) reviewed for facility denying a resident's readmission after a hospitalization . This failure resulted in the resident remaining at the hospital while the resident's representative worked to find them a new nursing home. This failure resulted in harm to Resident 4, under the Reasonable Person Concept, when the resident was not allowed to return to the resident's home, a reasonable person would feel dismayed and depressed if not allowed to return to their home after a hospitalization . […]

• Actual harm, isolatedF689May 21, 2021

  Based on observation, interview and record review the facility did not provide the assistance and supervision as required for one of three residents (1) to prevent accidents related to residents requiring assistance with hot liquids. This failed practice caused the resident pain, discomfort and skin damage from a second degree burn (affecting the first and second layer of skin). Findings included . Review of the facility's undated policy titled, Hot Beverages, showed a Hot Beverage safety assessment would be done on each admission. Appropriate interventions would be put into place. Documentation of the interventions would go into the electronic medical record. […]