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Deficiency Records for Arbors at Milford
A list of the most recent deficiencies for Arbors at Milford. 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 Milford. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-19 | 2024-04-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-19 | 2024-04-17 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-03-19 | 2024-04-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-19 | 2024-04-17 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-19 | 2024-04-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-19 | 2024-04-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-19 | 2024-03-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-28 | 2023-04-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-27 | 2023-02-15 | Y |
| 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 | 2023-01-27 | 2023-02-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-27 | 2023-02-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-27 | 2023-02-15 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-23 | 2022-12-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-23 | 2022-12-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-23 | 2022-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-23 | 2022-12-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-13 | 2022-06-09 | 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 | 2022-05-13 | 2022-06-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-13 | 2022-06-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-13 | 2022-06-09 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-05-13 | 2022-06-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-05-13 | 2022-06-09 | 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 | 2022-05-13 | 2022-06-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-13 | 2022-06-09 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-05-13 | 2022-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-13 | 2022-06-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-13 | 2022-06-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-13 | 2022-06-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-13 | 2022-06-09 | Y |
| 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 | 2022-05-13 | 2022-06-09 | 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 | 2022-05-13 | 2022-06-09 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-05-13 | 2022-06-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-13 | 2022-06-09 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-22 | 2022-04-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-22 | 2022-04-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-22 | 2022-04-13 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-24 | 2019-12-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-24 | 2019-12-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-26 | 2019-11-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-26 | 2019-11-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-26 | 2019-11-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-26 | 2019-11-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-09-26 | 2019-11-19 | 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 | 2019-09-26 | 2019-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-26 | 2019-11-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-26 | 2019-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-26 | 2019-11-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-09-26 | 2019-11-19 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-09-24 | 2019-11-19 | 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 | 2019-09-24 | 2019-11-19 | N |
| 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 | 2019-09-24 | 2019-11-19 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2019-09-24 | 2019-11-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-24 | 2019-11-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-24 | 2019-11-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-24 | 2019-11-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-16 | 2018-09-04 | 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 | 2018-08-16 | 2018-09-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-16 | 2018-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-16 | 2018-09-04 | 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 | 2018-08-16 | 2018-09-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-16 | 2018-09-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-16 | 2018-09-04 | 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 | 2018-08-16 | 2018-09-04 | 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 | 2018-08-16 | 2018-09-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-16 | 2018-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-16 | 2018-09-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-08-16 | 2018-09-04 | N |
| Keep all essential equipment working safely. | Health | 2018-08-16 | 2018-09-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-08-16 | 2018-09-04 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2018-08-16 | 2018-09-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-08-13 | 2018-09-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-08-13 | 2018-09-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-08-13 | 2018-09-04 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-08-13 | 2018-09-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-13 | 2018-09-04 | N |
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