Arlington Place Health Campus

In the surveyor’s words

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

• Actual harm, isolatedF697Apr 26, 2023

  Based on interview and record review, the facility failed to administer a narcotic pain medication, as ordered by the physician. This failure resulted in a resident having uncontrolled pain and mental distress for 1 of 1 resident randomly observed for pain (Resident B). Findings include: The clinical record for Resident B was reviewed on 4/24/23 at 11:15 a.m. The Resident's diagnosis included, but was not limited to, arthritis of multiple sites and cervical disc disorder. A care plan, dated 4/11/22, indicated she was at risk for general pain and discomfort due to cervical myelopathy and arthritis. The goal was for her pain to be at a tolerable level with interventions. […]

• No harm, potential for more than minimal, widespreadF812Oct 21, 2024

  Based on observation, interview, and record review, the facility failed to ensure beard coverings were worn by the dietary staff with facial hair. This has a potential to affect 42 of 42 residents that receive food prepared in the kitchen. Findings include: An observation was made of the Kitchen with the Director of Food Services on 10/15/24 at 11:44 a.m. During the tour, [NAME] 5 was observed at the food preparation area preparing the lunch meal. [NAME] 5 had facial hair on his lip and chin with no beard covering. An interview was conducted with the Director of Food Services on 10/15/24 at 11:55 a.m. He indicated [NAME] 5 should be wearing a beard covering. A [NAME] and Mustache policy was provided by the Administrator on 10/17/24 at 11:30 a.m. It indicated, .Policy. […]

• No harm, potential for more than minimal, patternF804May 29, 2026

  Based on observation, interview and record review, the facility failed to ensure food temperatures were at an appetizing temperature and kept at safe holding temperatures. This had the potential to affect 70 of 70 residents that eat the food prepared and served from the kitchen.Findings include:An interview was conducted with Resident D on 5/28/26 at 10:29 a.m. She indicated breakfast, lunch and dinner meals were always served cold.An observation was made of the main kitchen with the DM 11 on 5/28/26 at 12:26 p.m., Dietary Manager (DM) 11 utilizing a thermometer had taken the food temperatures of the prepared food to be served. The smoked sausage had tempted 123 degrees Fahrenheit. DM 11 indicated the smoked sausage needed to be reheated. […]

• No harm, potential for more than minimal, patternF550Jul 25, 2023

  Based on observation, interview and record review, the facility failed to ensure residents were treated with respect and dignity for 2 of 2 residents reviewed for abuse, 2 of 4 residents reviewed for dignity, 1 of 3 residents reviewed for ADLs (activities of daily living,) and 6 of 7 residents that attended in resident council. (Resident 's 1, 5, 8, 14, 21, 29, 19, 31, and 38) Findings include: 1. The clinical record for Resident 21 was reviewed on 7/18/23 at 10:45 a.m. The resident's diagnosis included, but was not limited to, stroke with hemiplegia affecting left side. The Quarterly MDS (Minimum Data Set), completed on 6/17/23, indicated Resident 21 was moderately cognitively impaired. The resident needs extensive assistance of one staff person with dressing. […]

• No harm, potential for more than minimal, patternF684Jul 25, 2023

  Based on observation, interview, and record review, the facility failed to timely address a resident's lower extremity edema, timely schedule an orthopedic appointment, to obtain blood sugar readings and administer insulin before meals as ordered, and failed to hold insulin when blood sugar results were below 110, as ordered by the physician, for 1 of 1 resident reviewed for edema, 1 of 3 residents reviewed for ADLs (activities of daily living), 1 of 1 resident reviewed for insulin, and 1 of 5 residents reviewed for unnecessary medications (Residents 5, 14, 31, and 38) Findings include: 1. The clinical record for Resident 38 was reviewed on 7/18/23 at 2:00 p.m. […]