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Deficiency Records for Arbor Trace Health and Living Community
A list of the most recent deficiencies for Arbor Trace Health and Living Community. 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 Trace Health and Living Community. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-04 | 2024-07-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-04 | 2024-07-19 | N |
| Have an externally vented heating system. | Fire Safety | 2024-06-04 | 2024-07-19 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-15 | 2024-06-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-05-15 | 2024-06-11 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-05-15 | 2024-06-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-15 | 2024-06-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-15 | 2024-06-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-15 | 2024-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-15 | 2024-06-11 | 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 | 2024-05-15 | 2024-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-15 | 2024-06-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-15 | 2024-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-01 | 2023-09-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-08 | 2023-04-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-08 | 2023-04-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-08 | 2023-04-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-08 | 2023-04-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-03-08 | 2023-04-14 | N |
| Provide or obtain dental services for each resident. | Health | 2023-03-08 | 2023-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-08 | 2023-04-14 | 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 | 2023-03-23 | 2023-04-01 | 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 | 2023-03-23 | 2023-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-23 | 2023-04-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-23 | 2023-04-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-23 | 2023-04-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-09 | 2021-12-21 | 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 | 2021-12-09 | 2021-12-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-01 | 2021-10-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-01 | 2021-10-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-01 | 2021-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-01 | 2021-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-14 | 2021-09-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-14 | 2021-09-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-14 | 2021-09-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-14 | 2021-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-14 | 2021-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-14 | 2021-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-14 | 2021-09-30 | N |
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