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Deficiency Records for Arcadia Care Center

A list of the most recent deficiencies for Arcadia Care Center. 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 Arcadia Care Center. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-07-25 2024-08-18 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-07-25 2024-08-18 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-07-25 2024-08-18 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 2024-07-25 2024-08-18 Y
Install an approved automatic sprinkler system. Fire Safety 2024-07-31 2024-08-18 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-07-31 2024-08-18 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-07-25 2024-08-16 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2024-07-25 2024-08-16 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 2024-07-25 2024-08-09 Y
Provide and implement an infection prevention and control program. Health 2024-07-25 2024-08-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-25 2024-08-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-25 2024-08-02 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2024-07-25 2024-07-31 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 2024-07-25 2024-07-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-03 2024-01-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-03 2024-01-31 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-01-03 2024-01-31 Y
Provide and implement an infection prevention and control program. Health 2023-09-26 2023-10-12 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-04-11 2023-04-26 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-21 2022-10-24 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-05-03 2022-07-07 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-10-15 2021-10-25 Y
Provide emergency officials' contact information. Fire Safety 2021-05-21 2021-07-01 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 2021-05-21 2021-07-01 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2021-05-21 2021-07-01 N
Construct fire resistant interior walls. Fire Safety 2021-05-21 2021-07-01 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2021-05-21 2021-07-01 N
Install an approved automatic sprinkler system. Fire Safety 2021-05-21 2021-07-01 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2021-05-21 2021-07-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-05-21 2021-07-01 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-05-21 2021-07-01 N
Have power receptacles that are properly grounded. Fire Safety 2021-05-21 2021-07-01 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2021-05-21 2021-06-29 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-05-21 2021-06-29 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-05-21 2021-06-29 N
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2021-05-21 2021-06-29 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 2021-05-21 2021-06-29 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 2021-05-21 2021-06-29 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-05-21 2021-06-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-21 2021-06-29 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 2021-05-21 2021-06-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-21 2021-06-29 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-05-21 2021-06-29 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 2021-05-21 2021-06-29 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 2021-05-21 2021-06-29 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-05-21 2021-06-29 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 2021-05-21 2021-06-29 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 2021-05-21 2021-06-29 N
Ensure that residents are free from significant medication errors. Health 2021-05-21 2021-06-29 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 2021-05-21 2021-06-29 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2021-05-21 2021-06-29 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2021-05-21 2021-06-29 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-05-21 2021-06-29 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2021-05-21 2021-06-29 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2020-01-24 2020-02-27 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 2020-01-24 2020-02-27 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2020-01-24 2020-02-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-01-24 2020-02-27 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2020-01-24 2020-02-27 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-01-24 2020-02-27 N
Assist a resident in gaining access to vision and hearing services. Health 2020-01-24 2020-02-27 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2020-01-24 2020-02-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-01-24 2020-02-27 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2020-01-24 2020-02-27 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2020-01-24 2020-02-27 N
Post nurse staffing information every day. Health 2020-01-24 2020-02-27 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2020-01-24 2020-02-27 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 2020-01-24 2020-02-27 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 2020-01-24 2020-02-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-01-24 2020-02-27 N
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 2020-01-24 2020-02-27 N
Provide and implement an infection prevention and control program. Health 2020-01-24 2020-02-27 N
Implement a program that monitors antibiotic use. Health 2020-01-24 2020-02-27 N
Have properly located and lighted "Exit" signs. Fire Safety 2020-01-22 2020-02-12 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 2020-01-22 2020-02-12 N
Construct fire resistant interior walls. Fire Safety 2020-01-22 2020-02-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-01-22 2020-02-12 N
Ensure that sources of ignition are removed from patients receiving respiratory therapy. Fire Safety 2020-01-22 2020-02-12 N

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