Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Center At Arrowhead, Llc during CMS and state inspections, most recent first.
Staff did not consistently follow infection prevention protocols, including hand hygiene during meal tray delivery to residents on Enhanced Barrier Precautions and proper use of PPE and hand hygiene during Foley catheter care for a resident with complex medical needs. Additionally, infection surveillance logs were not maintained or trended as required, with leadership confirming lapses in real-time tracking and analysis.
The facility did not consistently track and trend antibiotic use as part of its antibiotic stewardship program. Infection Control Logs showed that while infection and antibiotic data were recorded, there was no evidence of trending or real-time tracking, and the Infection Preventionist was still in training with limited support. This practice was not in accordance with facility policy and CDC guidelines.
A resident with morbid obesity and incontinence was not supplied with appropriately sized incontinence briefs, despite repeated requests and staff awareness of the issue. Only 2 XL briefs were available, while the resident required a 3 XL bariatric brief, resulting in discomfort and improper fit. Staff interviews confirmed the lack of proper supplies and the facility's policy emphasized the need to prevent skin breakdown and maintain dignity.
A resident admitted for hospice respite care with orders for sliding scale insulin did not receive insulin administration or blood glucose monitoring during their stay. The hospice order summary was not uploaded into the clinical record until after discharge, and staff did not identify or transcribe the insulin order, resulting in a medication error. Nursing staff confirmed that facility policy requires accurate transcription and administration of medications per physician orders, which was not followed in this case.
A resident with a lumbar fracture was found to have a tube of barrier cream and anti-fungal powder left unattended on the bedside table on two occasions. There was no provider order or assessment for self-administration, and staff interviews confirmed that medications should not be left at the bedside without proper authorization. Facility policy requires medications to be administered by licensed staff and securely stored, but these procedures were not followed in this instance.
The facility did not include actual hours worked by RNs, LPNs, and nursing assistants on daily nurse staffing postings, as required by policy. Staff interviews confirmed a lack of awareness about the need to post actual hours worked, and observations showed the posted forms were incomplete.
The facility failed to report an allegation of abuse involving a resident to the State Agency. Despite the resident's claim that a staff member yelled at her, the facility's staff were unaware of the incident, and the internal investigation was inconclusive. The facility did not report the allegation as required by policy, placing the resident at risk for continued abuse.
A resident with multiple diagnoses and dependent on assistance for daily activities did not receive proper toenail care, leading to discomfort and potential infection. Despite expressing concerns and having scheduled nail care, staff failed to follow through, resulting in thick, greenish toenails causing pain.
Failure to Maintain Infection Control During Meal Delivery, Foley Catheter Care, and Infection Surveillance
Penalty
Summary
Staff failed to maintain infection prevention and control protocols during the delivery of meal trays to residents on Enhanced Barrier Precautions (EBP). Observations showed a CNA repeatedly entered and exited multiple EBP rooms without sanitizing her hands before or after contact, despite clear signage instructing all staff to perform hand hygiene. The CNA also handled items such as coffee cups and bedside tables without performing hand hygiene, and interviews confirmed a misunderstanding or disregard of the facility's EBP and hand hygiene policies during meal tray delivery. During Foley catheter care for a resident with a history of osteomyelitis, acute kidney failure, and cognitive communication deficit, a registered nurse performed the procedure without donning a gown as required by EBP protocols. The nurse also failed to sanitize her hands between glove changes throughout the care process, despite the presence of an EBP sign and available PPE outside the resident's room. The nurse acknowledged these lapses, attributing them to forgetting the resident's EBP status and not having alcohol-based hand rub available in the room. Facility leadership confirmed that the expected practice was not followed during this high-contact care activity. The facility's infection prevention and control program was also found deficient in tracking and trending infections. Infection control logs for several months were not completed in real time, and there was no evidence of systematic trending or analysis of infection data as required by facility policy. Interviews with the Assistant Director of Nursing and the Regional Clinical Director confirmed that infection surveillance was not being conducted according to policy, and that the lack of tracking and trending could contribute to the spread of infection.
Failure to Track and Trend Antibiotic Use in Stewardship Program
Penalty
Summary
The facility failed to consistently implement tracking and trending of their antibiotic stewardship program, as required by policy and CDC guidelines. During an interview with the Assistant Director of Nursing (ADON) and the Regional Clinical Director (RCD), it was revealed that the ADON was still in training as the Infection Preventionist (IP), with the previous IP assisting only a few hours per week. Review of the Infection Control Logs from January through April 2025 showed that while resident names, infection types, and antibiotics used were recorded, there was no evidence that this information was being trended or analyzed. Additionally, the RCD confirmed that the data regarding antibiotic use was not being recorded in real time, with the previous IP retroactively filling in the logs. The RCD acknowledged that antibiotics were not being tracked and trended during this period, which was not in accordance with company policy. The facility's Infection Prevention and Control Program Policy required a system to monitor antibiotic use, overseen by the IP, but this system was not being properly implemented.
Failure to Provide Appropriately Sized Incontinence Briefs
Penalty
Summary
A resident with a history of bilateral primary osteoarthritis of the knee, morbid obesity, chronic knee pain, and muscle weakness was not provided with appropriately sized incontinence briefs. The resident, who was cognitively intact and frequently incontinent of bladder and always incontinent of bowel, reported that the briefs supplied by the facility were too small, causing discomfort and leaving her unable to fasten them properly. She repeatedly informed CNAs of her need for a larger size, but was told that larger briefs were not available. Observations confirmed that only 2 XL briefs were present in the resident's room and in the supply rooms on the second and third floors, while the resident required a 3 XL bariatric brief. Multiple staff interviews corroborated the resident's account, with CNAs and the interim DON acknowledging that the 2 XL briefs were not the correct size and that the appropriate 3 XL size was not stocked in the relevant supply rooms. The maintenance/housekeeping assistant confirmed that supply rooms are restocked daily and that specific sizes can be provided upon request, but no 3 XL briefs were available at the time. The facility's incontinence management policy requires care and services to prevent skin breakdown and maintain resident dignity, but the failure to provide the correct size brief did not meet these standards.
Failure to Administer Insulin and Perform Blood Glucose Monitoring per Hospice Orders
Penalty
Summary
A resident was admitted for a 5-day respite stay under hospice care with multiple diagnoses, including cerebrovascular disease, hypertension, anxiety disorder, atrial fibrillation, and depression. Upon admission, a hospice order summary indicated prescriptions for Lactaid, Glucerna, and sliding scale insulin. However, review of the Medication Administration Record and Treatment Administration Record for the resident's stay revealed that insulin was not administered and blood glucose monitoring was not performed during the entire period. Progress notes and interviews with nursing staff confirmed that the hospice order summary, which included the sliding scale insulin instructions, was not uploaded into the resident's clinical record until after discharge. Staff were unable to locate any physician's order for insulin in the resident's record during the stay, and as a result, insulin was not given. The medication reconciliation process failed to capture the insulin order, and the omission was not identified until the resident reported to nursing staff that insulin was expected. Interviews with the DON, RN, and LPN staff revealed that the facility's process for reviewing and transcribing physician and hospice orders was not followed as required. Staff acknowledged that the admitting nurse is responsible for verifying incoming orders and that the failure to administer insulin and perform blood glucose testing constituted a medication error. Facility policies require medications to be administered according to written orders and for all orders to be accurately transcribed and recorded, which did not occur in this instance.
Unattended Medications Left at Bedside Without Authorization
Penalty
Summary
A deficiency was identified when medications, specifically a tube of barrier cream and anti-fungal powder, were found unattended on a resident's bedside table during two separate observations. The resident had a history of lumbar vertebra fracture and was cognitively intact, as indicated by a BIMS score of 13. Physician orders were present for the barrier cream but not for the anti-fungal powder, and there was no evidence of an order or assessment for self-administration of medications. The care plan and clinical record lacked documentation supporting the resident's ability or authorization to self-administer medications. Interviews with staff revealed that medications, including topical treatments, are not to be left at the bedside unless there is a provider order and a completed self-administration assessment. Staff confirmed that family members are required to give any medications they bring to nursing staff, and that medications should be stored in the treatment cart, not in the resident's room. Facility policy also requires that only authorized staff administer medications and that self-administered medications be securely stored. Despite these policies, the medications were left unattended, and there was no documentation supporting self-administration for the resident involved.
Incomplete Daily Nurse Staffing Information Posted
Penalty
Summary
The facility failed to ensure that daily nurse staffing information was complete and accurate, specifically omitting the actual hours worked by licensed and unlicensed direct care nursing staff. Review of the daily nurse staffing forms for several specified dates revealed that the forms did not include the required information about actual hours worked. During an observation, the posted staffing form at the front information desk also lacked this information. Interviews with the Staffing Coordinator and the Director of Nursing confirmed that the actual hours worked were not included on the daily nurse staff posting forms. The Staffing Coordinator stated she was not informed that actual hours worked needed to be included, and the Director of Nursing acknowledged that the postings were incomplete and that she was unaware of the associated risks. Facility policy requires that the daily posting include hours worked by RNs, LPNs, and nursing assistants for each shift, but this was not followed.
Failure to Report Alleged Abuse to State Agency
Penalty
Summary
The facility failed to report an allegation of abuse involving a resident to the State Agency. The resident, who was admitted with multiple diagnoses including acute respiratory failure and depression, had a moderately impaired mental status and required assistance with daily activities. Despite the resident's claim that a staff member yelled at her, the facility's staff, including the Case Manager, ADON, and DON, were unaware of the incident. The Clinical Services Resource staff later confirmed that the resident mentioned the incident but could not provide details or identify the staff involved. The resident also expressed feeling safe and had no further complaints. The facility's investigation into the alleged abuse was inconclusive, as no staff or other residents corroborated the resident's claim. The Clinical Services Resource staff conducted interviews with both night and day shift staff and other residents, but no evidence of yelling or abuse was found. The resident herself was unable to recall specific details about the incident and ultimately stated that she felt safe and that the staff were generally nice to her. Despite the facility's internal investigation, there was no evidence that the allegation of abuse was reported to the State Agency as required by the facility's policy. The policy mandates that any observations or allegations of abuse must be immediately reported to the Administrator and, if involving abuse or serious bodily harm, reported to the State Agency within two hours. The failure to report the allegation places the resident at risk for continued abuse and is a clear deficiency in the facility's compliance with regulatory requirements.
Failure to Provide Proper Toenail Care
Penalty
Summary
The facility failed to ensure that a resident received proper trimming of their toenails, which could result in discomfort, pain, and infection. The resident, who was admitted with multiple diagnoses including a fracture, sepsis, hypertension, and muscle weakness, was cognitively intact and dependent on assistance for activities of daily living. Despite being scheduled for bathing and nail care, the resident's toenails were not trimmed over a period from January 16, 2024, to February 13, 2024. The resident expressed concerns about his toenails to staff, but no follow-up actions were taken to address his requests for nail care or a podiatrist consult. Observations revealed that the resident's toenails were thick, greenish, and causing pain, indicating neglect in nail care management. Interviews with staff, including a CNA, wound care nurse, and the Director of Nursing, revealed a lack of clarity and follow-through regarding responsibility for nail care. The CNA admitted to notifying the wound nurse but did not follow up, and the wound care nurse stated that she only provided care for diabetic residents. The Director of Nursing confirmed that non-diabetic residents' nail care was the responsibility of CNAs unless the nails were too thick, in which case a nurse or doctor should be involved. The facility's policy on Activities of Daily Living, which includes nail trimming, was not adhered to, leading to the resident's discomfort and potential risk of infection.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Glendale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Advanced Health Care Of Glendale | 1.2 mi | ★★★★★ | 4 | 0 |
| Sierra Winds | 1.7 mi | — | 0 | 0 |
| Freedom Plaza Care Center | 3.2 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of North Glendale | 3.2 mi | ★★★★★ | 1 | 0 |
| Peoria Post Acute And Rehabilitation | 3.4 mi | ★★★★★ | 5 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.