Armour Oaks Senior Living Community

In the surveyor’s words

From the most serious findings on record at Armour Oaks Senior Living Community, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678May 28, 2026

  Based on interview and record review, the facility failed to contact Emergency Medical Services (EMS), to initiate and provide continuous Cardiopulmonary Resuscitation (CPR) timely per facility policy for one sampled resident (Resident #1) out of three sampled residents, who was a full code status. The facility census was 31 residents. The Administrator and Director of Nursing (DON) were notified on [DATE] at 2:45 P.M., of the Immediate Jeopardy (IJ) Past Non-Compliance which occurred on [DATE]. On [DATE], the Administrator and DON became aware of the violation of the facility's CPR policy. The facility in-serviced the staff on the CPR policy and procedures, medical emergencies and ensured code status updates for all residents. The IJ was corrected on [DATE]. […]

• No harm, potential for more than minimal, widespreadF921Apr 17, 2025

  Based on observation, interview and record review, the facility failed to ensure that hot water temperatures from faucets throughout the facility, were consistently between 105 ºF (degrees Fahrenheit) and 120 ºF. Resident rooms [ROOM NUMBER]) on the South east side of the facility, had water temperatures between 94 ºF and 99 ºF. Resident rooms 14, 21, 22, and 12 on the north side of the facility had temperatures that were 120.2- 121.4 ºF; and Resident rooms [ROOM NUMBERS] had water temperatures between 76.1 ºF and 92.3 ºF .The facility also failed to ensure that staff who are checking temperatures allowed to flow for at least 2 minutes before measuring the water temperatures. This practice potentially affected all residents. […]

• No harm, potential for more than minimal, widespreadF812Jan 16, 2024

  Based on observation, interview, and record review, the facility failed to keep the walk-in refrigerator, and walk-in freezer floors clean; failed to retain operable thermometers in all refrigerators to confirm adequate temperature ranges; failed to maintain sanitary utensils and food preparation equipment; failed to safeguard against mold possibly getting into food and/or beverages; failed to change the deep fryer oil in a timely manner; failed to consistently document hot food temperatures at the steam table to ensure they were suitably cooked to lessen the chance of bacterial contamination; failed to maintain plastic cutting boards in good condition to avoid food safety hazards (cross-contamination); and failed to store foodstuffs within acceptable temperature parameters, in accordance… […]

• No harm, potential for more than minimal, widespreadF880Jan 16, 2024

  Based on observation, interview, and record review, the facility failed to establish and maintain a comprehensive, infection prevention and control program designed to help prevent the development and transmission of water-borne pathogens (a bacterium, virus, or other microorganism that can cause disease), in accordance with Centers for Medicare and Medicaid Services (CMS) guidelines. This deficient practice had the potential to affect all residents, visitors, volunteers, and staff who resided, visited, used, or worked in the facility. The facility census was 34 residents with a licensed capacity for 38 residents at the time of the survey. 1. Observation on 1/8/24 between 9:41 A.M. and 10:43 A.M. […]

• No harm, potential for more than minimal, widespreadF727Jul 20, 2022

  Based on interview and record review, the facility failed to have a Registered Nurse (RN) on duty eight hours a day, seven days a week. This deficient practice had the potential to negativly affect all residents residing at the facility.The facility's census was 37 residents. Record review of the facility's undated Registered Nurse Staffing Policy, showed: -The facility interpreted state and federal guidelines to say the facility must use the services of a RN for at least eight consecutive hours a day, seven days a week. -The Director of Nursing (DON) or designated staffing coordinator scheduled at least one eight-hour shift each day on the nursing schedule. -The eight hour shift will be suffice by the RN each day the DON is on site for at least eight consecutive hours. […]