Arrowhead Healthcare Center, LLC

In the surveyor’s words

From the most serious findings on record at Arrowhead Healthcare Center, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Apr 9, 2026

  Based on observation, interview, and record review, the facility failed to ensure safe infection control practices and sanitary environment were followed when: 1.physician's orders were not followed for Resident 53 and Resident 21, when the residents' oxygen nasal cannula tubing (device used to deliver oxygen into the nose via a tube) and humidifier (bottle filled with distilled water that attaches to an oxygen concentrator or tank to add moisture to the oxygen) were found unlabeled and undated2.Three Hoyer lift (a mechanical lift) slings (strong, fabric harnesses that securely hold a person with limited mobility while a mechanical lift moves them) were observed hanging from the exterior bars outside the laundry room windows.3.The facility failed to ensure staff adhered to required… […]

• No harm, potential for more than minimal, widespreadF727Apr 10, 2025

  Based on observation, interview, and record review, the facility failed to ensure a Registered Nurse (RN) was available onsite at least eight (8) hours a day, seven (7) days a week for 58 Residents from March 1, 2025, through April 10, 2025, when the facility did not have RN onsite for 3 days. This failure had a potential to negatively affect Residents overall health and safety by not having RN oversight and assessment in a universe of 58 residents. Findings: During an observation on April 10, 2025, there was no RN on duity. During an interview on April 10, 2025, at 10:47 AM, with the Administrator (Admin 1) The Admin 1 indicated that there is no RN available today as the Director of Nursing (DON 1) is absent due to Covid. She elaborated that the DON 1 is the only full-time RN on staff. […]

• No harm, potential for more than minimal, widespreadF880Dec 19, 2024

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to prevent the development and transmission of communicable diseases and infections, in a universe of 55 residents (Residents 1 to 55), when: 1. The facility did not conduct an annual review of its infection control program's policies and procedures (P&P) and update their program, as necessary. This failure had the potential to cause the facility to be out-of-date with current best practices and overlook potential gaps in their procedures. 2. Laundry staff (LS 1) did not follow the manufacturer's guidelines for the disinfectant used to disinfect laundry carts and dirty laundry barrels. […]

• No harm, potential for more than minimal, widespreadF812Jul 15, 2021

  Based on observation, interview, and record review, the facility failed to ensure safe, and sanitary food preparation, and storage practices in the kitchen when: 1. A drawer with clean utensils had food debris under the drawer liner. 2. Inside of the microwave on the top, there was food build-up. 3. The food preparation sink did not have an air gap. 4. There was food crumbs and debris under the steam table and reach-in refrigerator. 5. There were three plastic bins, storing disposable lids, under a stainless-steel counter, the bins had food debris and one had a sticky residue. 6. The resident's refrigerator located in the medication storage room was stained, dirty with food debris and a broken soda can appeared to have exploded in the freezer 7. […]

• No harm, potential for more than minimal, patternF912Apr 9, 2026

  Based on observation, interview, and record review, the facility failed to ensure five of five rooms (each with four resident beds per room) had the minimum required square footage for each resident. This failure had had the potential for increased risk of accidents and injuries to occur within the room as a result of limited space for wheelchair and Hoyer lift access (a mechanical device that helps move people with limited mobility), limited space to accommodate resident care activities, increased risk for falls, and a potential delay in the evacuation of residents during an emergency.Findings: During a review of the facility document titled, [name of facility] Census (a document which indicates the total number of residents within the facility and their room number) dated April 6, 2026,… […]