Oakton Place Health and Rehabilitation at the Arli

In the surveyor’s words

From the most serious findings on record at Oakton Place Health and Rehabilitation at the Arli, in the surveyor’s own words.

• Immediate jeopardy, patternF600Feb 25, 2024

  Based on observation, record reviews, Policy reviews, and interviews, the facility failed to protect the residents' right to be free from neglect by failing to ensure staff were competent to safely use full body mechanical lifts and by failing to ensure staff followed the manufacturer's safety instructions for the brand and size of slings and transfer techniques. Resident #1 was dependent on staff and used a mechanical lift for transfer. On 2/1/24, staff did not follow the manufacturer's instructions for the appropriate brand and size of sling during transfer with a mechanical lift. Resident #1 fell from the sling, struck her head on the bed and the floor. […]

• Immediate jeopardy, patternF689Feb 25, 2024

  Based on observation, record review, review of facility policies and procedures, staff, resident, and resident representative interviews, the facility failed to implement processes to prevent accidents by failing to ensure staff followed manufacturer's safety recommendations for transfer with mechanical lifts. On 2/1/24 Staff used a full body mechanical lift to transfer Resident #1. Staff did not follow manufacturer's safety recommendations for the size and brand of sling used. Resident #1 fell from the lift, struck her head on the bed and on the floor. Resident #1 sustained a laceration to the right temporal area requiring an emergent transfer to an acute care hospital. […]

• Immediate jeopardy, patternF726Feb 25, 2024

  Based on observations, record review, facility's policies and procedures review, the facility failed to ensure the nursing staff had the appropriate competencies and skills set to ensure residents' safety during transfers with mechanical lifts. Resident #1 was dependent on staff and used a mechanical lift for transfer. On 2/1/24 Resident #1 fell from the lift during transfer, struck her head on the bed and the floor. Resident #1 sustained a laceration to the right temporal area requiring an emergent transfer to an acute care hospital for evaluation and treatment. […]

• Immediate jeopardy, isolatedF835Feb 25, 2024

  Based on observation, record reviews, and interviews, the facility's Administration failed to utilize resources effectively to protect the residents' right to be free from neglect by failing to ensure staff were competent to safely use full body mechanical lifts and follow manufacturers safety instructions for the brand and size of slings. On 2/1/24 a dependent resident (Resident #1) fell during transfer using a mechanical lift and required transfer via EMS to the emergency room (ER) for evaluation and treatment for a head laceration. […]

• No harm, potential for more than minimal, widespreadF812Jun 13, 2024

  Based on observation, policy review, and staff interview the facility failed to store food in a manner that complies with safe food handling practices. The findings included: Review of the facility policy titled Food Receiving and Storage last revised November 2022, revealed procedures for Refrigerated/Frozen Storage read, All foods stored in the refrigerator or freezer are covered, labeled and dated . Refrigerated foods are labeled, dated and monitored so they are used by their use-by date, frozen or discarded . […]