Arnold Walter Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Arnold Walter Nursing & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 24, 2025

  Based on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to maintain kitchen sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On [DATE] at 9:23 AM, during the initial tour of the facility kitchen in the presence of the Food Service Director (FSD) and the Regional FSD (RFSD), the surveyor observed the following: The FSD performed hand hygiene at the hand washing station and was timed by the surveyor using a digital stopwatch to lather her hands with soap for 16 seconds prior to rinsing. The trash receptacle by the hand wash station was positioned under a stainless-steel shelf which had a tray of clean plastic cups stacked. […]

• No harm, potential for more than minimal, patternF693Jun 25, 2026

  Based on observations, interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to follow professional standards of practice and physician orders to ensure resident's receiving enteral feeding received appropriate care and services to prevent complications of enteral feeding. This deficient practice was identified for 3 of 3 residents (Residents #2, #8 and #75), reviewed for tube feeding.This deficient practice was evidenced by the following: 1. On 6/9/26 at 10:17AM, the surveyor observed Resident #2 lying in bed with a tube feeding (a medical device that delivers nutrition, fluids, and medications directly into the digestive system when a person cannot eat or swallow safely) in place and the pump turned off. […]

• No harm, potential for more than minimal, patternF880Jun 25, 2026

  Based on observations, interviews, and review of pertinent facility documentation, it was determined that the facility failed to maintain infection control practices implemented to prevent the spread of infection in accordance with accepted national standards, Centers for Disease Control (CDC) guidelines by ensuring a.) proper sanitizing of point of care equipment, (blood pressure machine) between residents during the medication administration observation for one (1) of two (2) nurses observed while administering medications, b.) performing appropriate hand washing technique during the medication administration observation for one (1) of two (2) nurses observed while administering medications, c.) appropriate handling of medications during the medication administration observation for one… […]

• No harm, potential for more than minimal, patternF584Jan 24, 2025

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to maintain the resident's living environment in a clean, comfortable, homelike manner. This deficient practice was identified on 2 of 4 nursing units (A Wing and D Wing) reviewed for environmental concerns, and was evidenced by the following: 1. On 1/16/24 at 9:24 AM, the surveyor observed the A-wing nursing unit and identified the following concerns: The Shower Room was a large room with two shower stalls, three windows, and three metal wall heaters. The left shower stall had copious amount of standing water with a white milky coloring that filled half of the shower floor. […]

• No harm, potential for more than minimal, patternF695Jan 24, 2025

  Based on observation, interview, and reviewed of pertinent facility documents, it was determined that the facility failed to a) label, date, and store respiratory equipment in a manner to prevent contamination for infection control; b) obtain a physician's order for the administration of oxygen; c.) document the assessment of vital signs as ordered for a nebulizer treatment; and d) perform tracheotomy care with aseptic (sterile) technique to prevent infection. This deficient practice was identified for 3 of 4 residents reviewed for respiratory care (Resident #71, #73, and #85) and 1 of 1 resident reviewed for tracheostomy care (Resident #115), and was evidenced by the following: 1. […]