The Haven of Arcola

In the surveyor’s words

From the most serious findings on record at The Haven of Arcola, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 9, 2025

  Based on interview and record review the facility failed to safely provide a resident wheelchair assistance, while obtaining a resident's weight, in a manner to prevent a fall. This failure resulted in a vertebra fracture for one of three residents (R1) reviewed for falls on the sample list of three. This past noncompliance occurred from 8/12/25 through 8/12/25.Findings include:R1's Diagnoses Sheet includes the following: History of Falling, Nondisplaced Fracture of Base Neck of Right Femur, Subsequent Encounter for Closed Fracture With Routine Healing, Presence Of Right Artificial Hip Joint, Aftercare Following Joint Replacement Surgery, Unspecified Osteoarthritis, Spinal Stenosis, Cervical Region, Other Intervertebral Disc Degeneration, Lumbar Region. […]

• Actual harm, isolatedF600Aug 10, 2025

  Based on interview and record review the facility failed to protect the resident's right to be free from physical abuse by another resident with known physical behaviors for two of four residents (R1, R2) reviewed for abuse in the sample list of seven residents. This failure resulted in R2 experiencing physical trauma including a lacerated lip, swollen eye, and multiple scratches, and fear of R1 causing R2 to refuse emergency services due to fear of R1 attacking R2 in the hospital after R1 punched R2 multiple times. This past non-compliance occurred from 7/18/25-7/25/25.R2's Electronic Medical Record (EMR) documents medical diagnoses as Schizoaffective Disorder, Paranoid Personality Disorder, Dementia with Agitation, Extra Pyramidal and movement disorder and Paranoid Schizophrenia. […]

• Actual harm, isolatedF689Oct 4, 2023

  Based on observation, interview and record review the facility failed to use a gait belt during a resident's transfer and ambulation to prevent a fall for one (R40)of three residents reviewed for falls in the sample list of 44. The fall resulted in R40 sustaining a skin tear in the right arm. Findings include: The facility's Fall Prevention policy with a revised date of 11/10/18 documents, Policy: To provide for resident safety and to minimize injuries related to falls; decreases falls and still honor each resident's wishes/desires for maximum independence and mobility. Fall Prevention Interventions: 11. Transfer with proper number of assist and gait belt. R40's Fall Risk assessment dated [DATE] documents R40 is at risk for falls. […]

• Actual harm, isolatedF689Sep 22, 2022

  Based on interview and record review the facility failed to transfer a sleeping resident from her wheelchair to her bed, which resulted in a fall and subsequent injury for one cognitively impaired resident (R1). R1 was sent to the emergency room , seen, and treated for a forehead laceration and right and left nasal bone fractures after falling at the facility on 8/27/22. R1 is one of three residents reviewed for falls in the sample of three. Findings include: R1's Physician Order Sheet (POS) dated September 2022 documents R1 is diagnosed with Dementia, Anxiety, Depression, Behavioral Disturbances with [CONDITION(S)], Altered Mental Status, and [CONDITION(S)]-like Activity. R1's Minimum Data Set (MDS) dated [DATE] documents R1 is severely cognitively impaired. […]

• No harm, potential for more than minimal, widespreadF727Sep 10, 2025

  Based on interview and record review the facility failed to provide the services of a registered nurse for eight consecutive hours seven days a week every twenty-four hours. This failure has the potential to affect all 65 residents who reside in the facility.The Long-Term Care Facility Application for Medicare and Medicaid dated 9/7/25 documents 65 residents reside at the facility.The facility's Staffing Policy that is not dated was provided by V1 Administrator and documents that a Registered Nurse (RN) will be scheduled seven days a week at least one continuous (8) eight-hour shift. The facility's nursing work schedule for the month of August 2025 and September 2025 documents the facility did not have the services of a RN for eight consecutive hours on 8/25/25, 8/30/25, and 9/10/25. […]