Country Arch Care Center

In the surveyor’s words

From the most serious findings on record at Country Arch Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 8, 2026

  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 3/31/26 at 10:36 AM, the surveyor conducted an interview with the Regional Food Service Director (RFSD) and Registered Dietician (RD) prior to the initial tour of the kitchen. The RFSD and RD stated the following:-Dietary staff were required to wash their hands at the designated handwashing sink.-Dented cans were stored separately from the cans to be used for meals.-The dish machine was a low temperature dish machine that required a chemical sanitizer.-Dishware was required to be air dried.-The nursing unit pantries… […]

• No harm, potential for more than minimal, widespreadF812Oct 19, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to a.) store foods in a manner intended to prevent the spread of food borne illness and b.) maintain a clean storage for food and cooking utensils as evidenced by the following: On [DATE] at 9:44 AM, the surveyor toured the kitchen with the Food Service Director (FSD), observed the following: 1. In the freezer the surveyor found; one opened box of carrots without an open and a use by date. The interior bag holding the carrots was opened and unlabeled. The FSD stated, that the exterior of the box should be labeled with the open and used by date. He also stated, the interior bag once opened should be labeled and dated. 2. In the freezer the surveyor found; one opened box of chopped celery. […]

• No harm, potential for more than minimal, widespreadF835Oct 19, 2023

  Based on observations, interviews, review of medical records, and review of facility documents, it was determined that the facility's Licensed Nursing Home Administrator (LNHA) failed to ensure: a) accurate documentation of the needed information in the Nurse Staffing Report, b) minimum State staffing requirements were met for 14 of 14 day shifts and on 3 of 14 overnight shifts reviewed, c) physician responsible for supervising the care of residents conducted face-to-face visits and wrote progress notes (PN) at least once every sixty days in a timely manner, d) that nurse aides received the minimum required number of in-service hours, and e) LNHA and Medical Director attended the QAPI (Quality Assurance and Performance Improvement) meeting routinely necessary to provide for the needs of… […]

• No harm, potential for more than minimal, widespreadF841Oct 19, 2023

  Based on the interview, record review, and review of other pertinent facility documentation it was determined that the facility Medical Director (MD) failed to provide clinical oversight and guidance regarding resident care policies and procedures that affect resident care, medical care, and resident quality of life related to a) required physician visits and notes, b) attends mandatory quarterly QAPI (Quality Assurance and Performance Improvement) meetings, and c) minimum State staffing requirements were met. This failure had the potential to affect all 105 residents who currently live in the facility. This deficient practice was evidenced by the following: 1. […]

• No harm, potential for more than minimal, widespreadF868Oct 19, 2023

  Based on interview and review of pertinent facility documentation, the facility failed to have: a) the Medical Director (MD) present for two out of three Quality Assurance and Performance Improvement (QAPI) meetings, b) the Licensed Nursing Home Administrator (LNHA) present for three out of three QAPI meetings, and c) set QAPI meeting schedule. This failure had the potential to affect all 105 residents who currently live in the facility. The deficient practice was evidenced by the following: On [DATE] at 8:57 AM, the survey team entered the facility and met with the Receptionist who instructed the surveyors to use the touchless thermometer attached to a wall to check the surveyors' temperature, log in the binder temperature, and answer the COVID-19 screening questions. […]