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Deficiency Records for Aperion Care Arbors Michigan City
A list of the most recent deficiencies for Aperion Care Arbors Michigan City. 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 Aperion Care Arbors Michigan City. 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-07-22 | 2024-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-22 | 2024-08-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-22 | 2024-08-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-22 | 2024-08-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-28 | 2024-07-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-28 | 2024-07-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-28 | 2024-07-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-28 | 2024-07-29 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-06-28 | 2024-07-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-06-28 | 2024-07-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-06-28 | 2024-07-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-28 | 2024-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-28 | 2024-07-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-06-28 | 2024-07-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-28 | 2024-07-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-26 | 2024-04-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-26 | 2024-04-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-26 | 2024-04-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-24 | 2024-02-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-24 | 2024-02-14 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-01-24 | 2024-02-14 | Y |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-01-24 | 2024-02-13 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-03 | 2023-11-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-03 | 2023-11-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-03 | 2023-11-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-03 | 2023-11-30 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-11-03 | 2023-11-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-03 | 2023-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-03 | 2023-11-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-03 | 2023-11-30 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-03 | 2023-11-30 | Y |
| 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 | 2023-11-03 | 2023-11-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-03 | 2023-11-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-20 | 2023-08-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-20 | 2023-08-04 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-07-20 | 2023-08-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-30 | 2023-08-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-30 | 2023-08-04 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-05-30 | 2023-08-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-30 | 2023-08-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-30 | 2023-08-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-30 | 2023-08-04 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-30 | 2023-07-20 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-05-30 | 2023-07-20 | 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 | 2023-05-30 | 2023-07-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-30 | 2023-07-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-30 | 2023-07-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-30 | 2023-07-20 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-05-30 | 2023-07-20 | N |
| Post nurse staffing information every day. | Health | 2023-05-30 | 2023-07-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-30 | 2023-07-20 | 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 | 2023-05-30 | 2023-07-20 | 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 | 2023-05-30 | 2023-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-30 | 2023-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-30 | 2023-07-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-30 | 2023-07-20 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-30 | 2023-07-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-30 | 2023-07-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-30 | 2023-07-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-20 | 2023-07-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-06-20 | 2023-07-12 | N |
| Develop a communication plan. | Fire Safety | 2023-06-20 | 2023-07-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-06-20 | 2023-07-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-20 | 2023-07-12 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-06-20 | 2023-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-20 | 2023-07-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-20 | 2023-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-20 | 2023-07-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-20 | 2023-07-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-20 | 2023-07-12 | N |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2023-07-20 | 2023-05-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-16 | 2023-04-07 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-03-16 | 2023-04-07 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-03-16 | 2023-04-07 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-16 | 2023-04-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-15 | 2023-04-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-15 | 2023-04-07 | Y |
| 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 | 2023-02-15 | 2023-04-07 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-02-15 | 2023-04-07 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-15 | 2023-04-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-15 | 2023-03-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-15 | 2023-03-16 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-02-15 | 2023-03-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-15 | 2023-03-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-15 | 2023-03-16 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-15 | 2023-03-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-15 | 2023-03-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-01 | 2022-12-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-01 | 2022-12-23 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-01 | 2022-12-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-29 | 2022-12-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-29 | 2022-12-23 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-09-29 | 2022-12-23 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-29 | 2022-12-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-29 | 2022-12-23 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-09-29 | 2022-12-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-29 | 2022-12-01 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-09-29 | 2022-12-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-29 | 2022-12-01 | Y |
| 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 | 2022-09-29 | 2022-12-01 | Y |
| Provide or obtain dental services for each resident. | Health | 2022-09-29 | 2022-12-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-29 | 2022-12-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-29 | 2022-12-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-29 | 2022-12-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-01 | 2022-09-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-02 | 2022-06-25 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-06-02 | 2022-06-25 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-06-02 | 2022-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-02 | 2022-06-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-02 | 2022-06-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-02 | 2022-06-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-02 | 2022-06-25 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-06-02 | 2022-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-05-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-04-21 | 2022-05-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-21 | 2022-05-09 | 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 | 2022-04-21 | 2022-05-09 | 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 | 2022-04-21 | 2022-05-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-21 | 2022-05-09 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-04-21 | 2022-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-21 | 2022-05-09 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-21 | 2022-05-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-21 | 2022-05-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-21 | 2022-05-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-21 | 2022-05-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-21 | 2022-05-09 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-21 | 2022-05-09 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-04-21 | 2022-05-09 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-21 | 2022-05-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-04-21 | 2022-05-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-16 | 2022-01-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-16 | 2022-01-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-16 | 2022-01-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-16 | 2022-01-14 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-16 | 2022-01-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-16 | 2022-01-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-01-14 | Y |
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