ARDEN REHAB & HEALTH CENTER
3400 ALTA ARDEN, SACRAMENTO, CA 95825
Citation Number: 030004419
Citation Date: 12/21/2007
Violation Date: 10/13/2005
On 10/9/05, an 89 year old resident developed a pressure sore on her right heel and right upper foot that later became severely infected and gangrenous. Her right foot "fell off" on 11/28/05. A nurse reported that if she had lifted the leg without supporting the foot, the foot would have separated from the leg. The odor from the infected foot was so bad the facility had to keep her door closed and use a fan to try and keep the odor from other rooms. The resident died on 12/15/05. The facility was cited because its multiple failures to assess, identify care needs, obtain and carry out physician orders, and implement facility policies led to the resident's death. Additional neglect of this resident is described in citation #03-16980004537.