Deficiency Records for Arcadia Care Center
Updated as of August 01, 2024
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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? |
---|---|---|---|---|
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 |
Provide and implement an infection prevention and control program. | Health | 2021-09-27 | 2021-10-28 | N |
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 |
Conduct testing and exercise requirements. | Fire Safety | 2019-01-10 | 2019-02-25 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-01-10 | 2019-02-25 | 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 | 2019-01-10 | 2019-02-25 | N |
Construct fire resistant interior walls. | Fire Safety | 2019-01-10 | 2019-02-25 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-10 | 2019-02-25 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-10 | 2019-02-25 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-10 | 2019-02-25 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-01-11 | 2019-02-19 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-01-11 | 2019-02-19 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-11 | 2019-02-19 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-01-11 | 2019-02-19 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-11 | 2019-02-19 | 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 | 2019-01-11 | 2019-02-19 | N |
Provide activities to meet all resident's needs. | Health | 2019-01-11 | 2019-02-19 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-11 | 2019-02-19 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2019-01-11 | 2019-02-19 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-11 | 2019-02-19 | 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 | 2019-01-11 | 2019-02-19 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-11 | 2019-02-19 | N |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-01-11 | 2019-02-19 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-11 | 2019-02-19 | 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 | 2019-01-11 | 2019-02-19 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-11 | 2019-02-19 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-11 | 2019-02-19 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-01-11 | 2019-02-19 | 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 | 2019-01-11 | 2019-02-19 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-01-11 | 2019-02-19 | N |
Implement a program that monitors antibiotic use. | Health | 2019-01-11 | 2019-02-19 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-01-11 | 2019-02-19 | N |
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