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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