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Deficiency Records for Arbor Glen Center
A list of the most recent deficiencies for Arbor Glen Center. 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 Glen Center. 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 a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-08-09 | 2024-10-10 | 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 | 2024-08-09 | 2024-09-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-09 | 2024-09-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-09 | 2024-09-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-09 | 2024-09-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-08-09 | 2024-09-03 | 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 | 2024-08-09 | 2024-09-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-08-09 | 2024-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-09 | 2024-09-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-09 | 2024-09-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-09 | 2024-09-03 | Y |
| Install proper backup exit lighting. | Fire Safety | 2024-08-09 | 2024-09-03 | 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 | 2024-08-09 | 2024-09-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-09 | 2024-09-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-09 | 2024-09-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-09 | 2024-09-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-09 | 2024-09-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-08-09 | 2024-09-03 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-08-30 | 2022-10-14 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-08-30 | 2022-10-14 | 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 | 2022-08-30 | 2022-10-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-30 | 2022-09-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-30 | 2022-09-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-08-30 | 2022-09-22 | 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 | 2022-08-30 | 2022-09-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-30 | 2022-09-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-30 | 2022-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-30 | 2022-09-22 | 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 | 2022-08-30 | 2022-09-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-30 | 2022-09-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-30 | 2022-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-30 | 2022-09-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-30 | 2022-09-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-30 | 2022-09-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-30 | 2022-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-30 | 2022-03-07 | Y |
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