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Deficiency Records for Ark Healthcare and Rehabilitation at Governor?s Hous
A list of the most recent deficiencies for Ark Healthcare and Rehabilitation at Governor?s Hous. 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 Ark Healthcare and Rehabilitation at Governor?s Hous. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-29 | 2024-05-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-13 | 2024-04-26 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-03-13 | 2024-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-13 | 2024-04-26 | 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 | 2024-03-13 | 2024-04-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-13 | 2024-04-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-13 | 2024-04-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-13 | 2024-04-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-13 | 2024-04-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-03-13 | 2024-04-26 | 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 | 2024-03-13 | 2024-04-26 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-03-13 | 2024-04-26 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-03-13 | 2024-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-13 | 2024-04-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-03-13 | 2024-04-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-13 | 2024-04-26 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-03-13 | 2024-04-26 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-03-13 | 2024-04-26 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-03-13 | 2024-04-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-08 | 2022-03-23 | Y |
| Meet other general requirements. | Fire Safety | 2021-12-02 | 2022-03-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-02 | 2022-03-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-12-02 | 2022-03-21 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-12-02 | 2022-03-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-12-02 | 2022-03-21 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-12-02 | 2022-03-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-02 | 2022-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-02 | 2022-03-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-12-02 | 2022-03-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-02 | 2022-03-21 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-12-02 | 2022-03-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-02 | 2022-03-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-02 | 2022-03-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-13 | 2022-02-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-13 | 2022-02-03 | Y |
| 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 | 2022-01-13 | 2022-02-03 | 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 | 2021-12-07 | 2022-01-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-07 | 2022-01-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-07 | 2022-01-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-07 | 2022-01-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-07 | 2022-01-18 | 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 | 2021-12-07 | 2022-01-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-07 | 2022-01-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-23 | 2020-01-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-23 | 2020-01-30 | 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 | 2019-12-23 | 2020-01-30 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-12-23 | 2020-01-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-18 | 2019-12-20 | N |
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