Medicalodges Arkansas City

In the surveyor’s words

From the most serious findings on record at Medicalodges Arkansas City, in the surveyor’s own words.

• Immediate jeopardy, patternF609Apr 10, 2025

  The facility reported a census of 41 residents, including 11 female residents with moderate to severe cognitive impairment. The sample included 13 residents reviewed for abuse. Based on observation, interview, and record review, the facility failed to report allegations of resident-to-resident abuse to the Licensed Nursing Home Administrator (LNHA), State Agency (SA) and/or Law Enforcement (LE) as appropriate when Resident (R) 1 repeatedly touched cognitively impaired female residents, R2 and R3, and displayed sexual behaviors such as masturbating in the presence of other residents. On 01/25/25 R1 grabbed R3's breast. […]

• Immediate jeopardy, patternF610Apr 10, 2025

  The facility reported a census of 41 residents and 11 female residents with moderate to severe cognitive impairment. The sample included 13 residents reviewed for abuse. Based on observation, interview, and record review, the facility failed to immediately implement protective measures to prevent further potential abuse, after an allegation of resident-to-resident abuse and further failed to conduct thorough investigations when Resident (R) 1 repeatedly touched cognitively impaired female residents, R2 and R3, and displayed sexual behaviors such as masturbating in the presence of other residents. On 01/25/25 R1 grabbed R3's breast. […]

• Immediate jeopardy, isolatedF600Apr 10, 2025

  The facility reported a census of 41 residents with 13 residents reviewed for abuse. Based on observation, interview, and record review, the facility failed to ensure residents remained free from resident-to-resident abuse when on 01/25/25 Resident (R)1 grabbed R3's breast, and the facility failed to place any interventions to protect R3 and other residents from R1's unwanted sexual advances and touching. The facility placed R1 on a one-to-one with staff and sent the resident to a geriatric psychiatric (geri-psych) facility but did not implement interventions to prevent further resident-to-resident abuse when R1 returned on 02/22/25 other than medication for sexual aggression. On 03/01/25 staff observed R1 rubbing the leg of an unidentified female resident. […]

• Immediate jeopardy, isolatedF600Jun 27, 2023

  The facility reported a census of 34 residents with three sampled and reviewed for skin and wound management. Based on record review and interview, the facility failed to prevent neglect through the failure to ensure licensed nursing staff assessed a wound on Resident (R)1's right lateral foot weekly, from 12/21/22 to 02/16/23, failed to initiate a treatment for a wound identified on 12/26/23 until 01/27/23 (31 days later), failed to complete treatments as ordered, failed to notify the primary care physician when the wound deteriorated, and failed to notify the primary care physician in a timely manner with critical radiology results. […]

• Immediate jeopardy, isolatedF684Jun 27, 2023

  The facility reported a census of 34 residents with three sampled and reviewed for skin and wound management. Based on record review and interview, the facility failed to ensure licensed nursing staff assessed a wound on Resident (R)1's right lateral foot weekly, from 12/21/22 to 02/16/23, failed to initiate a treatment for a wound identified on 12/26/23 until 01/27/23 (31 days later), failed to complete treatments as ordered, failed to notify the primary care physician when the wound deteriorated, and failed to notify the primary care physician in a timely manner with critical radiology results. The facility's lack of action led to the deterioration of the wound on R1's foot, which developed osteomyelitis and required hospitalization and possible amputation below the knee pending. […]