Regency Care of Arlington, LLC

In the surveyor’s words

From the most serious findings on record at Regency Care of Arlington, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF881Aug 31, 2022

  Based on facility document review, clinical records review and staff interview, the facility staff failed to ensure the infection prevention and control program (IPCP) antibiotic stewardship included antibiotic use protocols and an accurate system for monitoring antibiotic use. Findings include: On 08/31/22, the facility's antibiotic stewardship book/program was reviewed. The book/program did not consistently identify the type of infection, the antibiotic used, did not identify the specific organism, did not include the date of infection, specific symptoms and/or means of confirming infection prior to the prescribing and/or administering antibiotics. […]

• No harm, potential for more than minimal, widespreadF882Aug 31, 2022

  Based on staff interview and facility document review, the facility staff failed to ensure at least one staff member was designated as the infection preventionist who is responsible for the facility's IPCP (infection prevention and control program). Findings include: On 08/31/22 at approximately 7:30 AM, the facility's IPCP/antibiotic stewardship program was reviewed. The program presented did not consistently identify the type of infection, did not identify the specific organism, did not identify the antibiotic used/prescribed, did not include the date of infection, specific symptoms and/or means of confirming infection prior to the prescribing and/or administering antibiotics to residents. […]

• No harm, potential for more than minimal, patternF812Jul 12, 2023

  Based on observation, interviews, and record review, review of facility policies, the facility failed to ensure food was stored, prepared, and maintained in accordance with professional standards for food service safety. a sanitary manner. This failure had the potential to affect 136 of 155 residents in the facility who consumed food from the kitchen. Findings include: Review of the facility's policy titled, Food Safety Requirements dated 2023 revealed . food should be labeled and dated. Foods should be used by its use-by date or discarded. Review of the facility's policy titled, Date Marking for Food Safety dated 2023 revealed . food shall be clearly marked to indicate the date or day by which the food shall be consumed or discarded. […]

• No harm, potential for more than minimal, patternF880Jul 12, 2023

  Based on observation, interview, record review, and review of facility policy, the facility failed to ensure proper hand hygiene during meal service for 12 residents (R) from a sample of 35 residents. Staff failed to perform hand hygiene when passing meal trays to R63, R75, R86, R103, R122, R133, R409, R411, R412, R413, 414, and R415. Staff handled residents' food without wearing gloves. The facility also failed to post the correct signage for personal protective equipment (PPE) for two residents of six residents on transmission-based precautions. (R3 and R139). The facility also failed to ensure that the posted precautions were followed for one of six residents on transmission-based precautions (Resident #34). […]

• No harm, potential for more than minimal, patternF641Aug 31, 2022

  Based on staff interview and clinical record review, the facility failed to ensure an accurate MDS (minimum data set) assessment for three of 18 resident's in the survey sample. 1. Resident #82's MDS section B (vision) and section H (Bladder and Bowel) was coded incorrectly. 2. Resident #133's MDS section A (discharge) was coded incorrectly. 3. Resident #131's MDS section A (discharge) was coded incorrectly. The Findings Include: 1. Diagnoses for Resident #82 included: Malignant neoplasm of bladder, anxiety, adult failure to thrive, and unspecified dementia. The most current MDS (minimum data set) was an admission assessment with an ARD (assessment reference date) of [DATE]. […]