Arrowhead Senior Living Community

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Apr 10, 2026

  Based on observation, interview, and record review, facility staff failed to follow appropriate infection control practices during perineal care for one resident (Resident #39) out of 18 sampled residents and during wound care for three residents (Resident #27, #28 and #1) of four sampled residents with wounds. Facility staff also failed to develop and implement complete policies and procedures for the inspection, testing and maintenance of the facility's water systems to inhibit the growth of waterborne pathogens and reduce the risk of an outbreak of Legionnaire's Disease, a serious type of pneumonia (lung infection) caused by Legionella bacteria. […]

• No harm, potential for more than minimal, widespreadF755Oct 10, 2024

  Based on observation, interview, and record review, facility staff failed to reconcile narcotics at the change of shift when the medication cart changed from one staff member to another, and to ensure medications were secured. The facility census was 46. 1. Review of the facility's policy titled Controlled Medication Storage, dated 01/2021, showed the Director of Nursing (DON) and the consultant pharmacist maintain facility compliance with handling of controlled mediations.The medication nurse on duty maintains possession of the key to the controlled medication storage areas. There should be a system of medications records that enables accurate reconciliation and accounting of controlled medications. […]

• No harm, potential for more than minimal, widespreadF803Jun 30, 2022

  Based on observation, interview and record review, the facility staff failed to serve food in accordance with the nutritionally calculated menus to all residents. The facility census was 34. 1. Review of the facility's Diet Spreadsheets/Portion Serving Communication Tool policy, dated 04/03/20, showed Diet spreadsheets or similar meal and portion serving communication tools are available to the serving staff for reference and serving guidance. Diet spreadsheets are based on the planned menu and reflect serving portions for regular and therapeutic diet orders offered in the community. […]

• No harm, potential for more than minimal, widespreadF812Jun 30, 2022

  Based on observation, interview and record review, the facility staff failed to use gloves and perform hand hygiene as often as necessary using approved techniques to prevent cross-contamination. Facility staff also failed to allow sanitized kitchenware to air dry prior to stacking in storage to prevent the growth of food-borne pathogens. The facility census was 34. 1. Review of the facility's Proper Hand Washing Procedure and Proper Use of Gloves policy, dated 04/06/20, showed: -All employees will use proper hand washing procedures and glove usage in accordance with State and Federal Guidelines; -All employees will wash hands upon entering the kitchen from any other location, after all breaks (including bathroom and smoking breaks), and between all tasks. […]

• No harm, potential for more than minimal, patternF607Sep 27, 2023

  Based on interview and record review, facility staff failed to follow their policy as directed to check the Certified Nurse Assistant (CNA) Registry for all staff to ensure they did not have a Federal Indicator (a marker given by the federal government to individuals who have committed abuse and/or neglect) for two of six sampled employees (Licensed Practical Nurse (LPN) C and The Infection Preventionist) as directed in their policy. The facility census was 38. 1. Review of the facility's policy, titled Abuse, Neglect, Exploitation, undated, showed staff were directed to conduct employee reference checks and perform Certified Nursing Assistant CNA and Certified Medication Aide (CMA) registry, licensing board, and state approved background checks. […]