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Deficiency Records for Arbors at Marietta
A list of the most recent deficiencies for Arbors at Marietta. 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 Marietta. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-22 | 2024-02-25 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-01-12 | 2024-02-25 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-01-12 | 2024-02-25 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-01-12 | 2024-02-25 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-01-12 | 2024-02-25 | 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 | 2024-01-12 | 2024-02-25 | N |
| 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 | 2024-01-12 | 2024-02-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-12 | 2024-02-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-12 | 2024-02-25 | 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 | 2024-01-12 | 2024-02-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-12 | 2024-02-25 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-01-12 | 2024-02-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-12 | 2024-02-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-12 | 2024-02-25 | 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 | 2024-01-12 | 2024-02-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-12 | 2024-02-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-12 | 2024-02-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-12 | 2024-02-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-12 | 2024-02-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-12 | 2024-02-25 | 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 | 2024-01-12 | 2024-02-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-12 | 2024-02-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-12 | 2024-02-25 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-01-12 | 2024-02-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-12 | 2024-02-25 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-01-12 | 2024-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-12 | 2024-02-25 | N |
| Dispose of garbage and refuse properly. | Health | 2024-01-12 | 2024-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-12 | 2024-02-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-01-12 | 2024-02-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-12 | 2024-02-25 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-01-12 | 2024-02-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-04 | 2024-02-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-04 | 2024-02-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-04 | 2024-02-25 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-11-04 | 2023-11-04 | 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 | 2023-03-24 | 2023-04-05 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-24 | 2023-04-05 | 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 | 2023-03-01 | 2023-03-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-01 | 2023-03-09 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-02-08 | 2023-03-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-08 | 2023-03-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-08 | 2023-03-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-20 | 2023-03-09 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-01-20 | 2023-03-09 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-11-15 | 2023-03-09 | 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 | 2022-11-15 | 2023-03-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-15 | 2023-03-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-11-15 | 2023-03-09 | 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 | 2022-11-15 | 2023-03-09 | Y |
| Post nurse staffing information every day. | Health | 2023-02-08 | 2023-02-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-15 | 2022-12-23 | 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 | 2022-11-15 | 2022-12-23 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-11-15 | 2022-12-23 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-11-15 | 2022-12-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-15 | 2022-12-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-15 | 2022-12-23 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-15 | 2022-12-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-15 | 2022-12-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-15 | 2022-12-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-15 | 2022-12-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-15 | 2022-12-23 | 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 | 2022-11-15 | 2022-12-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-15 | 2022-12-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-11-15 | 2022-12-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-15 | 2022-12-23 | 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 | 2022-11-15 | 2022-12-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-15 | 2022-12-23 | 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 | 2022-11-15 | 2022-12-23 | 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 | 2022-11-15 | 2022-12-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-15 | 2022-12-23 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2022-11-15 | 2022-12-23 | N |
| Provide or obtain dental services for each resident. | Health | 2022-11-15 | 2022-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-15 | 2022-12-23 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-11-15 | 2022-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-15 | 2022-12-23 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-11-15 | 2022-12-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-15 | 2022-12-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-11-15 | 2022-12-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-15 | 2022-12-23 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-11-15 | 2022-12-23 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-11-04 | 2022-12-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-04 | 2022-12-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-04 | 2022-12-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-04 | 2022-12-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-04 | 2022-12-22 | 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 | 2022-05-19 | 2022-06-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-07 | 2022-03-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-07 | 2022-03-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-17 | 2022-01-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-17 | 2022-01-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-17 | 2022-01-07 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-01-30 | 2020-02-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-30 | 2020-02-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-01-30 | 2020-02-28 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2020-01-30 | 2020-02-28 | 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 | 2020-01-30 | 2020-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-30 | 2020-02-28 | 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 | 2020-01-30 | 2020-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-30 | 2020-02-28 | 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 | 2020-01-30 | 2020-02-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-30 | 2020-02-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-30 | 2020-02-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-30 | 2020-02-28 | 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 | 2020-01-30 | 2020-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-30 | 2020-02-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-30 | 2020-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-29 | 2020-02-28 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-01-29 | 2020-02-28 | N |
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