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Deficiency Records for Arc at Trotwood LLC

A list of the most recent deficiencies for Arc at Trotwood 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 Arc at Trotwood 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?
Respond appropriately to all alleged violations. Health 2024-08-14 2024-08-15 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-08-01 2024-08-15 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-03 2024-08-15 Y
Keep all essential equipment working safely. Health 2024-06-03 2024-08-15 Y
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2024-05-07 2024-08-15 Y
Provide properly protected cooking facilities. Fire Safety 2024-05-07 2024-08-15 Y
Have an alternate power supply for its alarm system. Fire Safety 2024-05-07 2024-08-15 Y
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-05-07 2024-08-15 Y
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 2024-06-30 2024-08-01 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-03 2024-08-01 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-06-03 2024-08-01 Y
Provide and implement an infection prevention and control program. Health 2024-06-03 2024-08-01 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-05-07 2024-07-31 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-05-07 2024-07-31 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-05-07 2024-07-31 Y
Install corridor and hallway doors that block smoke. Fire Safety 2024-05-07 2024-07-31 Y
Ensure proper usage of power strips and extension cords. Fire Safety 2024-05-07 2024-07-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-25 2024-04-08 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-03-25 2024-04-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-26 2024-04-08 Y
Ensure that residents are free from significant medication errors. Health 2024-02-26 2024-04-08 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-12-27 2024-01-08 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-12-27 2024-01-08 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-08-29 2023-09-15 Y
Respond appropriately to all alleged violations. Health 2023-08-29 2023-09-15 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-08-29 2023-09-15 Y
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 2023-08-29 2023-09-15 Y
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 2023-08-02 2023-09-15 Y
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2023-08-02 2023-09-15 Y
Ensure that residents are free from significant medication errors. Health 2023-02-28 2023-03-28 Y
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2023-02-28 2023-03-27 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-02-28 2023-03-27 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-02-28 2023-03-27 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-07-28 2022-08-23 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-07-28 2022-08-23 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 2022-07-28 2022-08-23 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-07-28 2022-08-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-28 2022-08-23 N
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 2022-07-28 2022-08-23 N
Provide enough food/fluids to maintain a resident's health. Health 2022-07-28 2022-08-23 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-07-28 2022-08-23 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-07-28 2022-08-23 N
Observe each nurse aide's job performance and give regular training. Health 2022-07-28 2022-08-23 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 2022-07-28 2022-08-23 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 2022-07-28 2022-08-23 N
Provide or obtain dental services for each resident. Health 2022-07-28 2022-08-23 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-07-28 2022-08-23 N
Hire a qualified full-time social worker in a facility with more than 120 beds. Health 2022-07-28 2022-08-23 N
Provide and implement an infection prevention and control program. Health 2022-07-28 2022-08-23 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-07-28 2022-08-23 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-07-20 2022-08-23 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-07-20 2022-08-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-07-20 2022-08-23 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-07-20 2022-08-23 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-07-20 2022-08-23 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-07-20 2022-08-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-07-20 2022-08-23 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-03-31 2022-05-03 Y
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 2022-02-04 2022-05-03 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-02-04 2022-05-03 Y
Provide and implement an infection prevention and control program. Health 2022-02-04 2022-05-03 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-11-29 2021-12-20 Y
Reasonably accommodate the needs and preferences of each resident. Health 2019-06-27 2019-07-30 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 2019-06-27 2019-07-30 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-06-27 2019-07-30 N
Ensure each resident receives an accurate assessment. Health 2019-06-27 2019-07-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-06-27 2019-07-30 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-06-27 2019-07-30 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 2019-06-27 2019-07-30 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-06-27 2019-07-30 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-06-27 2019-07-30 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 2019-06-27 2019-07-30 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2019-06-27 2019-07-30 N
Use approved construction type or materials. Fire Safety 2019-06-25 2019-07-30 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-06-25 2019-07-30 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2019-06-25 2019-07-30 N
Install proper backup exit lighting. Fire Safety 2019-06-25 2019-07-30 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2019-06-25 2019-07-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-06-25 2019-07-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-06-25 2019-07-30 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-06-25 2019-07-30 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-06-25 2019-07-30 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-06-25 2019-07-30 N
Have proper medical gas storage and administration areas. Fire Safety 2019-06-25 2019-07-30 N
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2018-03-22 2018-04-19 N
Assure the security of all personal funds of residents deposited with the facility. Health 2018-03-22 2018-04-19 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 2018-03-22 2018-04-19 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 2018-03-22 2018-04-19 N
Ensure each resident receives an accurate assessment. Health 2018-03-22 2018-04-19 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-03-22 2018-04-19 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-03-22 2018-04-19 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 2018-03-22 2018-04-19 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 2018-03-22 2018-04-19 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2018-03-22 2018-04-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-03-22 2018-04-19 N
Provide and implement an infection prevention and control program. Health 2018-03-22 2018-04-19 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-03-22 2018-04-19 N
Have an enclosure around a vertical opening shaft. Fire Safety 2018-03-22 2018-04-19 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 2018-03-22 2018-04-19 N
Install an approved automatic sprinkler system. Fire Safety 2018-03-22 2018-04-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-03-22 2018-04-19 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2018-03-22 2018-04-19 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2018-03-22 2018-04-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-03-22 2018-04-19 N
Have power receptacles that are properly grounded. Fire Safety 2018-03-22 2018-04-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-03-22 2018-04-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-03-22 2018-04-19 N
Have proper medical gas storage and administration areas. Fire Safety 2018-03-22 2018-04-19 N

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