Arma Operator, LLC

Inspectors wroteBased on observation, interview, and record review, the facility failed to develop an individualized activity plan for Resident (R) 25.

Inspectors wroteBased on interview and record review, the facility failed to ensure Resident (R)1 remained free from unnecessary medications when staff failed to monitor R1's consumption and accurately record the total amount of potassium received by R1.

Inspectors wroteBased on interview and record review, the facility failed to electronically submit complete and accurate staffing information to the federal regulatory agency through Payroll-Based Journaling (PBJ) when the facility failed to accurately submit hourly staffing data for all nursing personnel.

Inspectors wroteBased on observation, record review, and interview, the facility failed to provide housekeeping and maintenance services to ensure a safe and sanitary environment in the facility laundry.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure an environment free from accident hazards for Resident (R) 1, who required staff assistance and a Hoyer (total body mechanical lift) lift for safe transfers. On 01/20/26, R1 slid through the opening in the toileting lift sheet while one staff member manned the lift, and when the other staff member took their hands off the resident and the lift sheet, R1 fell to the floor. R1 sustained an abrasion to her head, pain, and a negative psychosocial outcome as she was afraid and anxious during lift transfers after the incident.

Inspectors wroteThe facility reported a census of 39 residents with five residents sampled for abuse and neglect. Based on interview and record review, the facility failed to ensure Resident (R)1 remained free from neglect. On [DATE] Certified Nurse Aide (CNA) M and CNA N attempted to transfer R1 from a shower chair to R1's wheelchair without using the full-body mechanical lift as required in R1's Care Plan. R1 could not bear weight so CNA M and CNA N lowered R1 to the floor. The staff attempted to lift R1 off the floor without using the mechanical lift but were unsuccessful, so they obtained the full-body mechanical lift, and both CNA staff lifted R1 into her wheelchair. CNA M and CNA N did not report the incident to Licensed Nurse (LN) G and only reported R1 bent her leg during a transfer and complained of pain. [...]

Inspectors wroteThe facility reported a census of 40 residents. Based on observation, interview and record review, the facility failed to prepare, store, and serve food in a sanitary manner for the residents of the facility.

Inspectors wroteThe facility reported a census of 41 residents. Based on observation, interview, and record review, the facility failed to maintain and/or dispose of garbage and refuse properly in a sanitary condition to prevent the harborage and feeding of pests.

Inspectors wroteThe facility reported a census of 41 residents. Based on interview and record review the facility failed to file grievance reports and follow up with resident concerns voiced during the resident council meetings.

Inspectors wroteThe facility reported a census of 41 residents, with 17 sampled for review. Based on interview and record review the facility failed to thoroughly investigate allegations when they failed to conduct resident interviews specifically related to the allegations of the self-investigations for two residents R6 and R23 on three occurrences of resident to resident altercation/abuse, and for two residents, R31 and R28 when the facility investigated resident to resident altercation/sexual abuse.

Inspectors wrote- On 03/16/23 at 08:14 AM, observation of medication pass by Certified Medication Aide (CMA) LL revealed she removed the cap off of a bottle of eye drops and placed it on an unsanitary towel on top of the medication cart. The towel contained brown colored spots on it. CMA LL administered the eye drops to R16 then replaced the cap on the bottle of eye drops without sanitizing it first. On 03/16/23 at 08:24 AM, during observation of medication pass, CMA LL used a digital wrist blood pressure cuff on R23 without sanitizing it first and prior observation revealed she used it on another resident prior to that. CMA LL failed to sanitize the blood pressure cuff after use on R23. [...]

Inspectors wroteThe facility reported a census of 41 residents with seventeen selected for review. Based on observation, interview, and record review, the facility failed to ensure accommodation of needs were met for two or the residents, Resident (R)17 and R13 by failure to have their call light in reach so they could alert staff of any needs.

Inspectors wroteThe facility reported a census of 41 with 17 selected for review including three reviewed for hospitalization. Based on record review and interview, the facility failed to provide notification to the Ombudsman office for Resident (R)12 and R6 following transfers to the hospital.

Inspectors wroteThe facility reported a census of 41 residents with 17 selected for review including three residents reviewed for activities of daily living (ADL's). Based on observation, record review, and interview, the facility failed to provide appropriate hygiene and grooming cares to Resident (R)33.

Inspectors wroteThe facility reported a census of 41 residents, with six residents sampled for accidents. Based on observation, interview and record review, the facility failed to identify contributing causes of one Resident (R24) of the six sampled residents, with multiple injuries of unknown origin (skin tears and bruise) and failed to implement appropriate immediate interventions to prevent further repeated skin injuries for this resident.

Inspectors wroteThe facility reported a census of 41 residents with 17 selected for review including two reviewed for urinary catheter (insertion of a catheter into the bladder to drain the urine into a collection bag) or urinary tract infection (UTI). Based on observation, interview, and record review, the facility failed to ensure Resident (R)18's urinary catheter tubing was appropriately secured to prevent urethral trauma in case of tugging on the catheter tubing.