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Deficiency Records for Arbors at Delaware
A list of the most recent deficiencies for Arbors at Delaware. 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 Arbors at Delaware. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-12 | 2024-09-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-22 | 2024-09-25 | 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 | 2024-08-22 | 2024-09-25 | 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 | 2024-08-22 | 2024-09-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-22 | 2024-09-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-22 | 2024-09-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-22 | 2024-09-25 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-08-22 | 2024-09-25 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-22 | 2024-09-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-24 | 2024-09-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-26 | 2024-09-25 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-06-26 | 2024-07-24 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-04-04 | 2024-04-24 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-04-04 | 2024-04-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-04 | 2024-04-24 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-04-04 | 2024-04-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-07 | 2023-12-27 | 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 | 2023-12-07 | 2023-12-27 | 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 | 2023-12-07 | 2023-12-27 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-12-07 | 2023-12-27 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-12-07 | 2023-12-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-07 | 2023-12-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-07 | 2023-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-07 | 2023-12-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-07 | 2023-12-27 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-07 | 2023-12-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-07 | 2023-12-27 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-31 | 2023-11-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-24 | 2023-02-15 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-24 | 2023-02-15 | 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 | 2022-11-28 | 2022-12-28 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-11-08 | 2022-12-28 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-08 | 2022-12-28 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-08 | 2022-12-28 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-08 | 2022-12-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-07 | 2022-09-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-24 | 2022-09-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-24 | 2022-09-12 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-01-14 | 2022-02-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-14 | 2022-02-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-14 | 2022-02-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-14 | 2022-02-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-02 | 2021-10-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-02 | 2021-10-08 | 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 | 2021-09-02 | 2021-10-08 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-09-02 | 2021-10-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-02 | 2021-10-08 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-09-02 | 2021-10-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-09-02 | 2021-10-08 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-09-02 | 2021-10-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-02 | 2021-10-08 | 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 | 2021-09-02 | 2021-10-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-02 | 2021-10-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-18 | 2019-05-17 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-04-18 | 2019-05-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-18 | 2019-05-17 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-04-18 | 2019-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-05-17 | 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 | 2019-04-15 | 2019-05-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-15 | 2019-05-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-15 | 2019-05-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-04-15 | 2019-05-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-15 | 2019-05-17 | N |
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