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Deficiency Records for Arbors at Mifflin
A list of the most recent deficiencies for Arbors at Mifflin. 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 Mifflin. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-21 | 2024-07-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-21 | 2024-07-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-21 | 2024-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-21 | 2024-07-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-21 | 2024-07-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-21 | 2024-07-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-21 | 2024-07-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-21 | 2024-07-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-21 | 2024-07-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-21 | 2024-07-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-21 | 2024-07-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-21 | 2024-07-11 | 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 | 2024-05-22 | 2024-06-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-05-22 | 2024-06-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-22 | 2024-06-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-22 | 2024-06-12 | N |
| 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 | 2024-05-22 | 2024-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-22 | 2024-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-22 | 2024-06-12 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-12-18 | 2023-12-04 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-05-09 | 2023-05-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-09 | 2023-05-23 | 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 | 2023-05-09 | 2023-05-23 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-03-30 | 2023-04-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-30 | 2023-04-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-30 | 2023-04-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-30 | 2023-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-30 | 2023-04-14 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-03-30 | 2023-04-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-29 | 2023-04-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-29 | 2023-04-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-29 | 2023-04-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-29 | 2023-04-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-29 | 2023-04-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-29 | 2023-04-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-29 | 2023-04-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-29 | 2023-04-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-29 | 2023-04-14 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-03-29 | 2023-04-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-29 | 2023-04-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-14 | 2023-03-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-14 | 2023-03-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-18 | 2023-03-03 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-18 | 2023-03-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-18 | 2023-03-03 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2020-01-09 | 2020-02-07 | 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 | 2020-01-09 | 2020-02-07 | 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 | 2020-01-09 | 2020-02-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-09 | 2020-02-07 | 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 | 2020-01-09 | 2020-02-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-09 | 2020-02-07 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-01-07 | 2020-02-07 | N |
| Use approved construction type or materials. | Fire Safety | 2020-01-07 | 2020-02-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-01-07 | 2020-02-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-07 | 2020-02-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-07 | 2020-02-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-07 | 2020-02-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-07 | 2020-02-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-07 | 2020-02-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-07 | 2020-02-07 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-01-07 | 2020-02-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-07 | 2020-02-07 | N |
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