Moorings of Arlington Heights

In the surveyor’s words

From the most serious findings on record at Moorings of Arlington Heights, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 29, 2025

  Based on observation, interview, and record review the facility failed to ensure a resident was transferred safely and, in a manner, to prevent resident injury. These failures resulted in a resident (R1) sustaining a leg laceration during a resident transfer. The resident was sent to a local hospital where she required fourteen sutures to repair her leg laceration. These failures apply to 1 of 3 residents (R1) reviewed for safety and supervision in the sample of 3. The findings include: A facility incident report and progress notes dated 1/20/25 showed R1 was found by staff to have a large, bleeding laceration to her right lateral lower leg, immediately after being transferred from her wheelchair to bed by V5 Certified Nursing Assistant (CNA). […]

• No harm, potential for more than minimal, widespreadF812Apr 17, 2024

  Based on observation, interview, and record review the facility failed to ensure the dishwasher final rinse sanitizer solution concentration was at the required level. This has the potential to affect all 51 resident's residing in the facility. The findings include: The CMS-671 dated 4/15/2024 lists total residents at 51. On 4/15/2024 at 10:15AM, a test strip was run by V8 Dietary with V9 Food Service Director present. Color of the test strip was a light pink/purple color correlating with the 10 result color on the color chart being used by staff. On 4/15/2024 at 10:15AM, V9 said the result should be 10-50 and thinks the log might be the wrong one. On 4/15/2024 at 11:03AM, V9 said the dishwasher isn't delivering the chemical and unsure why. […]

• No harm, potential for more than minimal, patternF880Jan 6, 2022

  Based on observation, interview, and record review, the facility failed to change and disinfect eye protection and face masks after caring for a COVID positive resident and before caring for COVID negative residents. The facility also failed to have signage for droplet precautions outside a COVID positive resident's room during a COVID-19 outbreak for seven of seven residents (R1, R10, R14, R30, R43, R46, R301) reviewed for infection control in the sample of 16. The findings include: On 1/4/22 at 11:11 AM, V6 Certified Nursing Assistant (CNA) entered R43's room to assist R43 with care. R43 did not have a face mask on. V6 was within six feet on R43. R43 was in a wheelchair next to the bed. V6 exited R43's room and did not remove, change, or disinfect her goggles and N95 mask. […]

• No harm, potential for more than minimal, isolatedF610Aug 20, 2026

  Based on interview and record review, the facility failed to have sufficient evidence to confirm that a thorough investigation was conducted after a physical altercation occurred between two residents. This failure applied to two (R1 and R2) of four residents reviewed for abuse investigations. Record review of Resident R1's electronic health record revealed R1 was a cognitively impaired [AGE] year-old female with diagnoses including Alzheimer's Disease, Osteoarthritis, and Major Depressive Disorder.Record review of R1's clinical record and facility Incident Reports revealed an incident note dated 04/24/2026 at 18:33 (6:33 PM) documenting that R2 struck R1 on the left shoulder during an interaction in the activity and dining area. […]

• No harm, potential for more than minimal, isolatedF689Aug 20, 2026

  Based on interview and record review, the facility failed to provide adequate supervision during staff-assisted wheelchair transport and failed to ensure staff were informed of a resident's known fall risks and resident-specific safety precautions prior to providing care for a resident. This failure applied to one (R3) of four residents reviewed for accidents and supervision. Record review of R3's electronic health record revealed R3 was an [AGE] year-old female admitted to the facility on [DATE] for rehabilitation following a fall at home caused by leaning forward, which resulted in a closed head injury and a stable odontoid fracture. The odontoid fracture was managed conservatively with an Aspen cervical collar, and her diuretics were discontinued due to orthostatic hypotension concerns. […]