Arlington Residence and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF584Jan 11, 2024

  Based on observation, interview and record review the facility failed to provide a comfortable and safe temperature levels maintained within a range of 71 to 81 degrees Fahrenheit for 9 of 9 residents (Residents #48, #3, #43, #6, #76, #45, #135, #7, and #23) and 3 of 3 zones (Zones #1, #2, and #3) reviewed for environment. The facility failed to ensure temperatures were above 71 degrees Fahrenheit after the heater went out on the night of 01/08/24 to the morning of 01/09/24. An Immediate Jeopardy (IJ) situation was identified on 01/09/24. […]

• Immediate jeopardy, patternF689Mar 29, 2024

  Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 3 of 11 residents (Residents #1, #2, and #3) reviewed for accidents. 1. The facility failed to ensure Resident #1 was provided with adequate supervision to prevent an unwitnessed fall with injury (non-displaced sacrum ring fracture) on 03/18/24. 2. The facility failed to ensure Resident #2 was provided with adequate supervision to prevent him from eloping from the facility's secured unit on 01/31/24. 3. The facility failed to ensure the staff break room was locked at all times and residents did not have access to the microwave. Resident #3 sustained burns on his left foot first toe and second toe. […]

• Immediate jeopardy, isolatedF689Feb 6, 2025

  Based on observation, interview and record review, the facility failed to ensure an environment that was free of accident hazards and that each resident received adequate supervision to prevent elopement for one (Residents #323) of three residents reviewed for elopement. 1. The facility failed to ensure Resident #323 was provided with adequate supervision to prevent him from eloping from the facility on 12/24/24 and 01/06/25. The non-compliance was identified as past non-compliance. The Immediate Jeopardy (IJ) began 12/24/24 and ended on 01/06/25. The facility corrected the non-compliance before surveyor's entrance. […]

• Immediate jeopardy, isolatedF689Sep 12, 2024

  Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 1 of 5 residents (Resident #4) reviewed for accidents. The facility failed to ensure Resident #4 was provided with adequate supervision to prevent him from eloping from the facility's secured unit that was not in proper working condition on 07/24/24. The noncompliance was identified as past noncompliance. The Immediate Jeopardy began on 07/24/24 and ended on 07/26/24. […]

• Actual harm, isolatedF684Mar 8, 2022

  Based on observation, interview, and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of five residents reviewed for quality of care. The facility failed to care plan, assess, follow physician orders, and notify provider of a change in Resident #1's [CONDITION(S)] which led to an increase in the [CONDITION(S)]'s size and the development of hard, dark brown skin tissue. […]