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Deficiency Records for Arbor Care Centers-Valhaven, LLC

A list of the most recent deficiencies for Arbor Care Centers-Valhaven, LLC. 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 Care Centers-Valhaven, LLC. 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?
Ensure each resident receives an accurate assessment. Health 2024-07-23 2024-09-06 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-07-23 2024-09-06 N
Ensure medication error rates are not 5 percent or greater. Health 2024-07-23 2024-09-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-23 2024-09-06 N
Provide and implement an infection prevention and control program. Health 2024-07-23 2024-09-06 N
Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. Health 2024-07-23 2024-09-06 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 2024-07-19 2024-09-06 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-07-19 2024-09-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-07-19 2024-09-06 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-07-19 2024-09-06 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-07-19 2024-09-06 N
Meet requirements for the use and maintenance of medical gas equipment. Fire Safety 2024-07-19 2024-09-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-05 2023-09-08 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-07-25 2023-09-08 N
Provide and implement an infection prevention and control program. Health 2023-07-25 2023-09-08 N
Meet other general requirements that are deficient. Fire Safety 2023-07-21 2023-09-08 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 2023-07-21 2023-09-08 N
Provide properly protected cooking facilities. Fire Safety 2023-07-21 2023-09-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-07-21 2023-09-08 N
Install an approved automatic sprinkler system. Fire Safety 2023-07-21 2023-09-08 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-07-21 2023-09-08 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-07-21 2023-09-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-07-21 2023-09-08 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-07-21 2023-09-08 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-07-21 2023-09-08 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-07-21 2023-09-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-18 2022-08-31 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-03-07 2022-04-29 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-03-07 2022-04-29 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-03-07 2022-04-29 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 2022-03-08 2022-04-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-08 2022-04-20 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 2022-03-08 2022-04-20 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 2022-03-08 2022-04-20 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-03-08 2022-04-20 N
Provide and implement an infection prevention and control program. Health 2022-03-08 2022-04-20 N
Perform COVID19 testing on residents and staff. Health 2022-03-08 2022-04-20 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 2022-03-08 2022-04-20 N
Implement emergency and standby power systems. Fire Safety 2022-03-07 2022-04-20 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-03-07 2022-04-20 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 2022-03-07 2022-04-20 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-03-07 2022-04-20 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 2022-03-07 2022-04-20 N
Provide properly protected cooking facilities. Fire Safety 2022-03-07 2022-04-20 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-03-07 2022-04-20 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-03-07 2022-04-20 N
Meet other general requirements that are deficient. Fire Safety 2022-03-07 2022-04-20 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-03-07 2022-04-20 N
Provide a written emergency evacuation plan. Fire Safety 2022-03-07 2022-04-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-03-07 2022-04-20 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-03-07 2022-04-20 N
Meet requirements for the use of electrical equipment. Fire Safety 2022-03-07 2022-04-20 N

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