Medicalodges Arkansas City

Inspectors wroteThe facility identified a census of 40 residents. The sample included 14 residents. Based on observation, record review, and interview, the facility failed to ensure residents remained free from resident-to-resident sexual abuse when Resident (R) 1, who had a history of inappropriate sexual behaviors, exposed his genitals to R9, a cognitively impaired resident. This deficient practice resulted in the residents being at risk for impaired psychosocial well-being including fear and embarrassment, and risk for ongoing sexual abuse.

Inspectors wroteThe facility reported a census of 40 residents, one main kitchen and one kitchenette. Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions to prevent the potential for food-borne bacteria. This placed the residents at risk for foodborne illness.

Inspectors wroteThe facility reported a census of 40 residents. The sample included 14 residents. Based on interviews, record reviews, and observation, the facility staff failed to implement adequate and acceptable infection control practices related to laundry services. This deficient practice placed the residents at risk for infections.

Inspectors wroteThe facility reported a census of 40 residents. Based on observation, interview, and record review, the facility failed to maintain a clean, comfortable, and homelike environment in two of the three resident halls including the shower room on Hall A and Hall B as well as one supply storage room on Hall A which placed the residents at risk of unsanitary living conditions.

Inspectors wroteThe facility reported a census of 40 residents. Based on interviews and record review, the facility failed to complete an annual performance review at least once every 12 months for one of the five Certified Nurse Aides (CNA) reviewed, CNA M, placing the affected residents at risk for decreased quality of care.

Inspectors wroteThe facility reported a census of 40 residents; the sample included 14. Based on observation, interview, and record review, the facility failed to complete an accurate Minimum Data Set (MDS) for Resident (R)1, regarding antidepressants (medications used to treat symptoms of depression, a mood disorder that can cause persistent sadness, loss of interest in activities, and difficulties with daily functioning) medication. This placed the resident at risk for impaired care due to unidentified care needs.

Inspectors wroteThe facility reported a census of 40 residents; the sample included 14 residents. Based on observation, record review, and interview, the facility failed to complete a comprehensive care plan for Resident (R)23, regarding Black Box Warnings (BBW), placing the resident at risk for inadequate care due to uncommunicated care needs.

Inspectors wroteThe facility identified a census of 40 residents. The sample included 14 residents. Based on observation, interview, and record review, the facility failed to revise Resident (R) 3's Care Plan with the interventions to prevent further weight loss. This deficient practice placed the resident at risk for continued weight loss due to uncommunicated care needs.

Inspectors wrote- R30's Electronic Medical Record (EMR) revealed a diagnosis of cardiovascular accident (CVA-also known as a stroke, a medical emergency where blood flow to a part of the brain is interrupted, leading to brain cell damage). R30's Annual Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition. He required set-up assistance for mobility in his manual wheelchair. He had impairment on one side of his upper and lower extremities. The Functional Abilities Care Area Assessment (CAA), dated 01/24/25, documented the resident had left upper and lower extremity weakness and decreased safety awareness. Staff were to expect further activity of living (ADL) decline. R30's Quarterly MDS, dated 04/25/25, documented the resident had a BIMS score of 12, indicating moderately impaired cognition. [...]

Inspectors wroteThe facility identified a census of 40 residents. The sample included 14 residents with one resident reviewed for urinary tract infections (UTI). Based on observation, record review, and interviews, the facility failed to provide adequate care and services to prevent UTI to the extent possible for Resident (R) 1 when failed to provide incontinence care monitor identify, and report signs and symptoms of ongoing UTI. This placed the resident at risk for ongoing UTI and related complications.

Inspectors wroteThe facility identified a census of 40 residents. The sample included 14 residents with three residents sampled for nutrition Based on observation, interview, and record review, the facility failed to provide care and services to maintain acceptable parameters of nutritional status for Resident (R) 3 when the facility failed to implement interventions and recommendations including providing fortified foods to prevent further loss. This deficient practice placed the resident at risk for continued weight loss.

Inspectors wroteThe facility reported a census of 40. There were 14 residents included in the sample. Based on interview, observation, and record review the facility failed to implement effective behavioral interventions for Resident (R) 37 ' s behaviors. This deficient practice placed the resident at risk for mental anguish, social isolation, and impaired quality of life.

Inspectors wroteThe facility reported a census of 40 residents. The sample included 14 residents. Based on interviews, record reviews, and observation, the facility failed to ensure a safe environment in all areas of the facility including the laundry area.

Inspectors wroteThe facility reported a census of 41 residents, including 11 female residents with moderate to severe cognitive impairment. The sample included 13 residents reviewed for abuse. Based on observation, interview, and record review, the facility failed to report allegations of resident-to-resident abuse to the Licensed Nursing Home Administrator (LNHA), State Agency (SA) and/or Law Enforcement (LE) as appropriate when Resident (R) 1 repeatedly touched cognitively impaired female residents, R2 and R3, and displayed sexual behaviors such as masturbating in the presence of other residents. On 01/25/25 R1 grabbed R3's breast. The facility placed R1 on one-to-one with staff and sent the resident to an acute behavioral facility, but did not implement interventions to prevent further resident-to-resident abuse when R1 returned on 02/22/25 other than a medication for sexual aggression. [...]

Inspectors wroteThe facility reported a census of 41 residents and 11 female residents with moderate to severe cognitive impairment. The sample included 13 residents reviewed for abuse. Based on observation, interview, and record review, the facility failed to immediately implement protective measures to prevent further potential abuse, after an allegation of resident-to-resident abuse and further failed to conduct thorough investigations when Resident (R) 1 repeatedly touched cognitively impaired female residents, R2 and R3, and displayed sexual behaviors such as masturbating in the presence of other residents. On 01/25/25 R1 grabbed R3's breast. The facility placed R1 on one to one with staff and sent the resident to the acute behavioral facility but did not implement interventions to prevent further resident to resident abuse when R1 returned on 02/22/25 other than a medication for sexual aggression. [...]

Inspectors wroteThe facility reported a census of 41 residents with 13 residents reviewed for abuse. Based on observation, interview, and record review, the facility failed to ensure residents remained free from resident-to-resident abuse when on 01/25/25 Resident (R)1 grabbed R3's breast, and the facility failed to place any interventions to protect R3 and other residents from R1's unwanted sexual advances and touching. The facility placed R1 on a one-to-one with staff and sent the resident to a geriatric psychiatric (geri-psych) facility but did not implement interventions to prevent further resident-to-resident abuse when R1 returned on 02/22/25 other than medication for sexual aggression. On 03/01/25 staff observed R1 rubbing the leg of an unidentified female resident. The facility did not implement interventions in response to this incident. [...]

Inspectors wroteThe facility reported a census of 38 residents with six residents selected for review, including three residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to ensure staff used a gait belt while assisting Resident (R)1 in the shower room on 07/22/24. R1 was no longer to bear weight and required staff to assist him to the floor. R1's leg was underneath him, which resulted in a left ankle fracture (broken bone).

Inspectors wroteThe facility census totaled 29 residents on 3 halls with a commons area where residents gathered for meals and activities. The two medication carts were also parked/stored in the commons area. Based on observation, interview, and record review, the facility failed to secure and provide appropriate storage of medications in the medication cart when both medication carts used by the facility remained unlocked when not in direct line of vision of the nurse and medication aide that passed medications from the two carts.

Inspectors wroteThe facility reported a census of 29 residents. The facility identified one central kitchen with one dining area. Based on observation, interview, and record review, the facility failed to provide sanitary food preparation and storage of food to prevent the spread of food borne illness to the residents of the facility.

Inspectors wroteThe facility reported a census of 29 residents. Based on observation, interview, and record review the facility failed to electronically submit to Centers for Medicare and Medicaid Services (CMS) with complete and accurate direct staffing information, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS (i.e. Payroll Base Journal (PBJ), related to licensed nursing staffing information when the facility failed to accurately report 24 hour per day Licensed Nurse coverage on 27 dates between 07/01/22 and 03/31/23. Findings Included: - Review of the Payroll Base Journal (PBJ) Staffing Data Report for fiscal year (FY), Quarter 4 2022 (July 01 thru September 30) revealed a lack of License Nurse (LN) for 24 hours/seven days a week 24 hour/day on the following dates: [...]

Inspectors wroteThe facility reported a census of 29 residents with 12 residents selected for review. Based on observation, interview, and record review, the facility failed to accurately assess and determine cognitive status via Brief Interview for Mental Status (BIMS) score on the Minimum Data Set (MDS) for five sampled residents, Resident (R)4, R6, R13, R24 and R25. This deficient practice had the potential to create inaccurate or uncommunicated care needs.

Inspectors wroteThe facility census totaled 29 residents with 12 residents in the sample, including 5 residents reviewed for medication review. Based on observation, interview, and record review, the facility failed to have the residents' attending physician document in the resident's medical record of the identified irregularity made by the consultant pharmacist to ensure the medication reviews had been reviewed and if any action taken to address responses for five of the five residents reviewed, which included Resident (R) 4, R9, R11, and R21.

Inspectors wroteThe facility reported a census of 29 residents with 12 residents sampled, including one resident for hospitalization. Based on interview and record review, the facility failed to notify/send a copy of the facility-initiated hospitalization transfer/discharge notice to the representative of the Office of the State Long-Term Care Ombudsman of the reason for the transfers for Resident (R) 26's required hospitalization.

Inspectors wroteThe facility reported a census of 29 residents with 12 residents included in the sample, including one reviewed for hospitalization. Based on interview and record review, the facility failed to provide a copy of the facility bed hold policy to Resident (R) 26 and/or their representative, with a written notice specifying the duration and cost of the bed hold policy, at the time of the resident's transfer to the hospital.

Inspectors wroteThe facility census totaled 29 residents with 12 residents included in the sample. Based on observation, interview, and record review the facility failed to develop a comprehensive care plan for one Resident (R)11, related to bilateral leg wraps as ordered by the physician for edema (swelling resulting from an excessive accumulation of fluid in the body tissues).

Inspectors wroteThe facility census totaled 29 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to provide treatment and care in accordance with professional standards of practice, with the failure to apply bilateral leg wraps on Resident (R)11 as ordered by the physician for edema.

Inspectors wroteThe facility reported a census of 29 residents. Based on interview and record review, the facility failed to ensure certified nurse's aide (CNA) O received 12 hours of training annually, as required.

Inspectors wroteThe facility reported a census of 29 residents, with 12 residents sampled, and included five residents sampled for unnecessary medications. Based on interview and record review, the facility failed to appropriately monitor side effects of psychotropic medications for one Resident (R21). This deficient practice could lead to the resident receiving unnecessary medications and/or having unintended side effects from medication use.

Inspectors wroteThe facility census totaled 29 residents with 12 residents included in the sample. Based on observation, interview, and record review, the facility failed to ensure clean, sanitary techniques for one Resident (R)21, related to proper glove usage and hand hygiene during incontinent cares.

Inspectors wroteThe facility reported a census of 27 residents. Based on observation, interview and record review, the facility failed to provide sanitary food preparation, storage and serving to prevent the spread of food borne infections.

Inspectors wroteThe facility reported a census of 27 residents. Based on observation, interview, and record review, the facility failed to ensure all equipment in the kitchen were in safe operating condition, regarding one reach- in freezer.

Inspectors wroteThe facility reported a census of 27 residents. Based on observation and interview, the facility failed to ensure a safe environment in the covered gazebo area, for the residents that used the gazebo.

Inspectors wroteThe facility reported a census of 27 residents. Based on observation, interview and record review, the facility failed to ensure one resident (R) 9, remained free of medication errors during 26 opportunities for medication error with two medication errors observed, thus creating, and error rate for the facility of 7. 41%.