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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 |
| 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 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-01 | 2024-08-06 | 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 |
| 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 | 2024-06-26 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-07 | 2024-06-26 | Y |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-05-07 | 2024-06-26 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-07 | 2024-06-26 | 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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