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Deficiency Records for Arbutus Park Manor

A list of the most recent deficiencies for Arbutus Park Manor. 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 Arbutus Park Manor. 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 2024-03-14 2024-03-08 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-03-14 2024-03-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-14 2024-03-08 Y
Install a two-hour-resistant firewall separation. Fire Safety 2023-10-17 2023-12-16 N
Meet other general requirements. Fire Safety 2023-10-17 2023-12-16 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 2023-10-17 2023-12-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-17 2023-12-16 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-10-17 2023-12-16 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-10-17 2023-12-16 N
Have power receptacles that are properly grounded. Fire Safety 2023-10-17 2023-12-16 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-10-17 2023-12-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-19 2023-12-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-19 2023-12-06 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-10-19 2023-12-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-06 2023-05-05 Y
List the names and contact information of those in the facility. Fire Safety 2022-12-05 2023-01-13 N
Meet other general requirements. Fire Safety 2022-12-05 2023-01-13 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-12-05 2023-01-13 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 2022-12-05 2023-01-13 N
Provide properly protected cooking facilities. Fire Safety 2022-12-05 2023-01-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-05 2023-01-13 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-12-05 2023-01-13 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-12-05 2023-01-13 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-12-05 2023-01-13 N
Have power receptacles that are properly grounded. Fire Safety 2022-12-05 2023-01-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-12-05 2023-01-13 N
Meet requirements for the use of electrical equipment. Fire Safety 2022-12-05 2023-01-13 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-12-01 2023-01-11 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-12-01 2023-01-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-01 2023-01-11 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 2022-12-01 2023-01-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-01 2023-01-11 N
Provide and implement an infection prevention and control program. Health 2022-12-01 2023-01-11 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-07-12 2022-08-05 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-01-04 2022-04-12 N
Address subsistence needs for staff and patients. Fire Safety 2022-01-04 2022-02-15 N
List the names and contact information of those in the facility. Fire Safety 2022-01-04 2022-02-15 N
Install a two-hour-resistant firewall separation. Fire Safety 2022-01-04 2022-02-15 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 2022-01-04 2022-02-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-01-04 2022-02-15 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-01-04 2022-02-15 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-01-04 2022-02-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-01-04 2022-02-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-12-15 2022-01-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-12-15 2022-01-21 N

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