Nightingale at Arkadelphia

In the surveyor’s words

From the most serious findings on record at Nightingale at Arkadelphia, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 31, 2023

  Based on observation and interview, the facility failed to ensure 1 ice machine and 1 scoop holder were maintained in clean and sanitary condition to prevent contamination of airborne particles; foods stored in the dry storage area refrigerator and freezer were covered and sealed to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen; foods were dated the day received to assure first in, first out usage to prevent potential for food bone illness; door frames and floor tiles were free of chips, stains and rust and were maintained in clean sanitary conditions, and dietary staff washed their hands… […]

• No harm, potential for more than minimal, widespreadF812Jul 11, 2023

  Based on observation and interview, the facility failed to ensure cooked food was discarded within 3 days; food was sealed and dated; food was thawed at appropriate temperatures and the floors were cleaned in 1 of 1 kitchen. This failed practice had the potential to affect 68 residents according to a list provided by the Administrator on 07/11/23 at 2:59 PM. The findings are: 1. On 07/10/23 at 9:31 AM, the followings items were observed in the Kitchen with the Dietary Manager: a. In the refrigerator there was a pan of green beans dated 7/06/23 with a use by date of 7/09/23; a pan of green beans with corn dated 7/07/23 and a box of sausage uncovered without a date. b. In the sink were two large packs of ground beef thawing in hot water. c. […]

• No harm, potential for more than minimal, widespreadF812May 20, 2022

  Based on observation and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment or food items, food items stored in the freezer were covered or sealed, leftover food items were used by its use-by date to maintain food quality and expired food items were promptly removed/discarded by the expiration or use by dates, six ceiling fans in the Main Dining Room were clean and free from dust, and staff members did not touch the food surfaces of plates with their fingers and thumbs during meal service to prevent the potential for contamination and food borne illness in 1 of 1 kitchen and dining room. […]

• No harm, potential for more than minimal, widespreadF803Mar 18, 2021

  Based on observation, record review and interview, the facility failed to ensure meals were prepared and served in accordance with the planned written menu to meet the nutritional needs of the residents for 1 of 1 meal observed. This failed practice had the potential to affect 8 residents who received pureed diets and 16 residents who received mechanical soft diets according to the diet list provided by the Dietary Supervisor on 03/15/2021. The findings are: 1. On 03/14/2021 the menu for the lunch meal documented for each resident to receive 3 ounces of roast turkey and ½ cup of cornbread stuffing. a. […]

• No harm, potential for more than minimal, patternF656Aug 31, 2023

  Based on observation, record review and interview, the facility failed to implement the plan of care for 1 (Resident #53) of 1 sampled resident who had a fall in the last 60 days. The findings are: 1. On 08/28/23 at 11:32 AM, observed Resident #53 was sitting in a Geri chair beside the bed. A pressure alarm (chair alarm) was on the recliner in the resident's room, not in use. There was not a helmet, fidget lap pad, or activity rack with movable balls in or around the resident's room during the observation. The resident had a low bed in the room. 2. On 08/29/23 at 8:14 AM, observed a chair alarm lying in the recliner seat in Resident #53's room. There was not an activity rack with movable balls in the room. Resident #53 was sitting in a Geri chair at the doorway in the Dining Room. […]