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Deficiency Records for Arbor Hills Nursing Center
A list of the most recent deficiencies for Arbor Hills Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Arbor Hills Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-11-01 | 2025-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-01 | 2024-12-13 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-11-01 | 2024-12-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-11-01 | 2024-12-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-11-01 | 2024-12-13 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-11-01 | 2024-12-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-01 | 2024-12-13 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-11-01 | 2024-12-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-01 | 2024-12-13 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-11-01 | 2024-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-01 | 2024-12-13 | N |
| Dispose of garbage and refuse properly. | Health | 2024-11-01 | 2024-12-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-01 | 2024-12-13 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-11-01 | 2024-12-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-11-01 | 2024-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-01 | 2024-12-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-01 | 2024-12-13 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2024-11-05 | 2024-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-05 | 2024-11-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-11-05 | 2024-11-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-05 | 2024-11-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-11-05 | 2024-11-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-11-05 | 2024-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-05 | 2024-11-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-14 | 2024-09-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-20 | 2024-07-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-09 | 2024-05-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-10 | 2022-10-13 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-04-15 | 2022-05-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-15 | 2022-05-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-15 | 2022-05-15 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-04-15 | 2022-05-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-15 | 2022-05-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-15 | 2022-05-15 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-04-15 | 2022-05-15 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-04-15 | 2022-05-15 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-04-15 | 2022-05-15 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-18 | 2022-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-18 | 2022-04-26 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-04-18 | 2022-04-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-18 | 2022-04-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-01-08 | 2020-01-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-08 | 2020-01-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-08 | 2020-01-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-08 | 2020-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-08 | 2020-01-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-05 | 2020-01-03 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-12-05 | 2020-01-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-05 | 2020-01-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-05 | 2020-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2020-01-03 | N |
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