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Deficiency Records for Arbor Care Centers-Neligh LLC
A list of the most recent deficiencies for Arbor Care Centers-Neligh 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-Neligh 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 that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-03-19 | 2024-05-03 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-03-19 | 2024-05-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-19 | 2024-05-03 | 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 | 2024-03-19 | 2024-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-19 | 2024-05-03 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-03-19 | 2024-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-19 | 2024-05-03 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-03-19 | 2024-05-03 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-19 | 2024-05-03 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-03-19 | 2024-05-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-14 | 2024-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-14 | 2024-05-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-14 | 2024-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-14 | 2024-05-03 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-03-14 | 2024-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-15 | 2023-04-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-15 | 2023-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-15 | 2023-04-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-15 | 2023-04-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-15 | 2023-04-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-16 | 2023-03-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-16 | 2023-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-16 | 2023-03-20 | 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 | 2023-02-16 | 2023-03-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-16 | 2023-03-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-16 | 2023-03-20 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-02-16 | 2023-03-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-10-19 | 2021-12-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-19 | 2021-12-03 | 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 | 2021-10-19 | 2021-12-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-19 | 2021-12-03 | N |
| Meet other general requirements. | Fire Safety | 2021-10-14 | 2021-12-03 | 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 | 2021-10-14 | 2021-12-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-14 | 2021-12-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-14 | 2021-12-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-14 | 2021-12-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-14 | 2021-12-03 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-10-14 | 2021-12-03 | N |
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