Purehealth Transitional Care at THR Arlington

In the surveyor’s words

From the most serious findings on record at Purehealth Transitional Care at THR Arlington, in the surveyor’s own words.

• Immediate jeopardy, patternF580Apr 9, 2025

  Based on interview and record review, the facility failed to immediately consult with the resident's physician and notify the resident representative when there was a significant change in the resident's condition or need to alter treatment significantly for one (Resident #1) of five residents reviewed for notification. - The facility failed to notify Resident #1's physician when the resident's vitals were abnormal on 2/24/25, 2/25/25, 2/26/25, and 2/27/25. It was also documented and reported to nursing staff that Resident#1 was lethargic and fatigued throughout the week by staff and the resident's family. […]

• Immediate jeopardy, patternF684Apr 9, 2025

  Based on interview and record review, the facility failed to ensure the residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (Resident #1) of 5 residents reviewed for quality of care. -The facility failed to document assessments and notify the physician when Resident #1's vitals were abnormal on 02/24/25, 2/25/25, 2/26/25, and 2/27/25. There were also no interventions when staff and Resident #1's family expressed concerns about the resident being lethargic and fatigued throughout the week. Resident #1 was sent to the local hospital on 2/28/25 where she was diagnosed with sepsis from a UTI, after the family alerted RN A that the resident's blood pressure was critically low. […]

• Immediate jeopardy, patternF658Jul 3, 2024

  Based on observation, interview, and record review, the facility failed to ensure the services provided or arranged by the facility, as outlined by the comprehensive care plan, must meet professional standards of quality for one of six residents (Resident #1) reviewed for post-surgical care. RN A and LVN C failed to obtain doctor's order for Resident #1 who was admitted with a tube connected to her stomach to drain an abscess on [DATE]. Resident #1's post-surgical site, stomach drain tube, and output were not documented from admission [DATE] through [DATE] when Resident #1 required hospitalization due to infection. RN A and LVN C were not trained on how to manage a drain. […]

• Immediate jeopardy, patternF684Jul 3, 2024

  Based on observation, interview and record review, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of six residents reviewed for quality of care. The facility failed to ensure Resident #1's stomach drain tube and drainage bag were documented on admission to the facility on [DATE] and accurately assessed, monitored, and treated. […]

• No harm, potential for more than minimal, patternF880May 15, 2025

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control measure designed to provide a safe, sanitary environment to help prevent the development and transmission of communicable diseases and infections for 4 of 6 residents (Resident #12, Resident #58, Resident #159, and Resident #160) reviewed for infection control. RN A failed to disinfect vital signs equipment between each resident while performing morning medication administration for Resident #12, Resident #58, Resident #159, and Resident #160. This deficient practice could place residents and nursing staff at risk of transmission of communicable diseases and infections. […]