Arabella Health & Wellness Of Pensacola

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to provide the required bathing and shower services necessary to maintain residents' overall personal hygiene for 6 out of 6 residents reviewed (Residents #4, #10, #38, #81, #98, #108).The findings include:1. During interviews conducted on 4/27/26 at 11:45 AM and 4/28/26 at 08:25 AM, Resident #4 revealed he needed assistance to get out of bed, and his preference was to get out of bed. He stated, I want to get up in my wheelchair, but the staff are busy. He stated he had asked to get out of bed plenty of times, but it doesn't happen unless he had physical therapy. He stated he got bored lying in bed. He stated he would watch his roommate's television, but watching TV was not something he enjoyed. Resident #4 stated he did not receive a bath every week, and he was not given a choice for a shower or bath by the staff. Observations conducted on 4/28/26 at 8:25 AM, 12:02 PM, and 3:40 PM, on 4/29/26 at 6:25 AM,11:14 AM, and 5:00 PM and 4/30/26…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview, record review, and policy review, the facility failed to ensure consistent implementation of its grievance procedures and failed to document, investigate, track, and follow up on resident grievances in accordance with facility policy for a resident grievance in 2 of 2 grievances reviewed. (Residents #54 and #10) The findings include:On 04/27/2026 at approximately 10:45 AM, an interview was conducted with Resident #54. Resident #54 stated there was an occurrence about a month ago where his clothing items did not return from the laundry. Resident #54 stated his clothes were marked with his name and that he had at least two other occurrences of lost clothing items since admission to the facility. Resident #54 stated he reported his missing clothing items to two unnamed staff members with a reply they would report to the social worker and management. Resident #54 stated he did not receive further information about his missing clothing items.On 04/27/2026 at approximately 11:00 AM, an interview was conducted with Staff BB, a Certified Nurse Assistant (CNA). Staff BB…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review and review of the facility policies, the facility failed to provide proper assessment and assistance in urinary/catheter care for 2 of 2 residents reviewed for urinary care (Resident #5 and #38). The findings included:1. A review of Resident #5's electronic medical record was conducted. On 4/24/26 at 8:03 PM, Staff V, Registered Nurse (RN), documented that Resident #5 requested transfer to the local Emergency Department due to a possible Urinary Tract infection (UTI). Staff V entered a transfer order under the medical director's name. Further review of the record revealed there was no documentation of a physical assessment being performed and no evidence that the medical director was notified of the transfer.Review of Resident #5's progress notes showed no documentation of a resident assessment, no interview regarding signs or symptoms, and no indication that staff offered any alternatives other than transfer to the emergency room.Review of Resident #5's transfer document dated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews and review of facility policy, the facility failed to ensure the accurate and periodic reconciliation and proper disposal of controlled medications.The findings included:Review of the controlled substance destruction records was conducted on 04/29/26 at approximately 9:34 AM with the facility Director of Nursing (DON) and the Administrator. The double locked drawer where discontinued narcotics were stored was noted to be full. Review of the logbook revealed that the last documented destruction of narcotics occurred on 11/06/25. Further review identified that only one out of six pages of the destruction log contained the required witness signature to validate the destruction process and ensure accountability.A joint interview was conducted with the DON and the Administrator on 04/29/26 at approximately 9:34 AM. They reported that all discontinued narcotics were stored in a double locked drawer located in the DON's office and acknowledged a significant accumulation of discontinued controlled substances. The DON stated that, since her hire in December…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews, and facility policy review, the facility failed to ensure medications were under direct observation of the person administering the medications during 1 medication administration observations conducted for Resident #109.The findings included:A medication administration opportunity was conducted with Staff Y, Licensed Practical Nurse (LPN) on 04/29/26 at approximately 7:45 AM. Staff Y was observed preparing to administer medications to Resident #109. During the process of removing medications from a medication bubble pack, 4 pills fell outside of the medication cup and onto the top surface of the medication cart. 3 of the 4 medications were for Resident #109's heart condition. Staff Y acknowledged the 4 tablets fell onto the medication cart and did not immediately secure or dispose of the dropped medications. Rather, Staff Y pushed the 4 pills aside on the medication cart next to the computer (Photographic evidence obtained). Staff Y then locked the medication cart and entered Resident #109's room, leaving the unsecured pills on the top of the cart…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews, and record reviews, the facility failed to use appropriate personal protective equipment (PPE) during patient care involving 2 of 2 residents with indwelling medical devices to prevent contamination and reduce infection risk (Resident #5, Resident #33)The findings included: An interview was conducted with Resident #5 on 04/27/26 at 11:17 AM. Resident #5 reported that staff do not wear the gowns provided for use during catheter care. Resident #5 further stated that sometimes staff wash their hands. During this interview, it was noted that Personal Protective Equipment (PPE) gowns were located on a hanging organizer on the back of Resident #5's door. It was also noted that signage mandating PPE equipment and EBP sign was present on Resident #5's door. During an observation conducted on 04/29/26 at 10:06 AM, Staff T, Certified Nurse Assistant (CNA) performed catheter care on Resident #5. Staff U, CNA assisted Staff T with the catheter care. Staff T and Staff U performed hand hygiene and wore gloves; however, PPE gowns were not used by the staff. When…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews, and record review, the facility failed to ensure that 1 of 3 residents reviewed for activities of daily living received the necessary services to maintain grooming and personal hygiene. (Resident #1)The findings include:On 2/25/2026 approximately 10:15 am during an interview with Resident #1, she reported she has not received a bath today or last night. She stated she gets cleaned sometimes during the day shift when she is wet or has a bowel movement. Her hair appeared oily and a noticeable body odor was present. Her skin was dry and flaky and clothes were stained and urine type smells were noted.An interview was conducted on 2/25/2025 at approximately 11:00 am with Staff A, a Licensed Practical Nurse. She stated the resident is scheduled for a bath during the night. She stated that, during shift change, night shift always reports that a bath is not being given for different reasons. Resident #1 did receive incontinent care during the day shift and sometimes a full bath is given when the resident or family request, because the bath was not given…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews, and record reviews, the facility failed to provide medications to meet the needs of 1 of 5 residents sampled for medication administration observation. (Resident #16) The findings include: On 2/19/25 at approximately 10:25 AM, an observation was made of Nurse B, a Licensed Practical Nurse, administering medications to Resident #16. During this observation, it was observed that the scheduled medication Azelastine HCL Nasal Solution 137 micrograms (a medication used to relieve sinus congestion) and Breo Elipta Inhalation aerosol powder 100-25 micrograms/ACT (a medication used to treat Chronic Obstructive Pulmonary Disease) were not available to administer as ordered to Resident #16. On 2/19/25 at approximately 10:40 AM, an interview was conducted with Nurse B, who indicated that she was not sure why the resident was out of these two medications, but that she would contact the pharmacy to have them sent in, and notify the physician to obtain an order to hold the medication until available. On 2/19/25 at approximately 10:50 AM, an interview was…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Resident #21 On 2/19/25 at approximately 9:36 AM, an observation was made of Nurse A during medication administration for Resident #21. Nurse A was observed to touch the inside of the medication cup, and the inside of the water cup with her bare hand. Further observations of Nurse A revealed that the nurse failed to clean the hub of the Lantus insulin pen (a medication used to treat Diabetes type II) with an alcohol swab prior to applying the needle. On 2/19/25 at approximately 10:00 AM, an interview was conducted with Nurse A, who indicated that touching the inside of the medication cup and water cup would be considered an infection control issue. Nurse A further confirmed that she did not clean the hub of the Lantus insulin pen prior to applying the needle and this too would be considered an infection control issue. On 2/19/25 at approximately 10:50 AM, an interview was conducted with the Regional Nurse, who indicated that it is the facility's expectation that the nurses do not touch the inside of the medication or water cups, and that the nurses also clean the hub of all insulin…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record reviews and interviews, the facility failed to submit an adverse incident report for 1 of 1 residents sampled for elopement. (Resident #44) The findings include: On 11/30/23, during a review of facility adverse incident reports, it was discovered that Resident #44 eloped from the facility on 10/6/23. There was no evidence that the facility submitted a federal report. On 11/30/23 at approximately 1:00 PM, an interview was conducted with the Administrator. The Administrator stated they did not do a federal report because they were under the impression they only needed to do the adverse incident report to the State. The Administrator stated they were advised by their Corporate Nurse to file the adverse incident which was submitted by their corporate consultant.

Based on observations, interview, and record review, the facility failed to store food in accordance with professional standards in the facility's unit nourishment refrigerators. The findings include: On 11/30/2023 at approximately 11:00 AM, the nourishment refrigerators at the two nurse's stations were inspected. The station #2 refrigerator was found to be filled with a number of resident personal food items that were out of date or unlabeled. Facility supplements were found to be in date but with one opened container. Both the freezer and refrigerator were found to have old food spills that had not been wiped up. (Photographic evidence obtained) The station #1 refrigerator appeared clean. There were no personal Resident food items present. All nourishment containers were unopened and within expiration dates. The floor under the refrigerator was stained with uncleaned food spills. The charge nurse stated she had called maintenance to have the floor cleaned. On 11/30/2023 at approximately 11:00 AM, the charge nurse station #2 verified that opened supplements should be discarded…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews, and record review, the facility failed to maintain infection control practices for 1 of 4 residents observed during medication administration observation. (Resident #5) The findings include: On 11/29/23 at approximately 9:09 AM, an observation was made of Nurse A, a Licensed Practical Nurse (LPN), administering medications to Resident #5. Nurse A placed Resident #5's Azelastine Nasal spray (a medication used to treat sinus allergies), Breo Ellipta Aerosol Powder inhaler (a medication used to treat chronic obstructive pulmonary disease), and Visine ophthalmic solution (eye drops used to treat dry eyes) on Resident #5's over the bed table without placing a barrier between the table and the medications. Nurse A then applied clean gloves and assisted in pulling Resident #5 up in the bed. Nurse A then changed gloves without performing hand hygiene. Nurse A then administered Resident #5's inhaler, nasal spray and eye drops without changing gloves and performing hand hygiene in-between each medication, and between each eye. Nurse A then removed her gloves…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.