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Deficiency Records for Arbor Grace Wellness Center
A list of the most recent deficiencies for Arbor Grace Wellness 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 Arbor Grace Wellness 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? |
---|---|---|---|---|
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-11-22 | 2024-12-20 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-22 | 2024-12-10 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-22 | 2024-12-10 | 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 | 2024-11-22 | 2024-12-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-22 | 2024-12-10 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-26 | 2024-08-27 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-26 | 2024-08-27 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-05 | 2024-07-05 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-05 | 2024-07-05 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-05 | 2024-07-05 | Y |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-06-05 | 2024-06-08 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-28 | 2024-03-29 | Y |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-02-28 | 2024-03-29 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-11-01 | 2023-11-15 | Y |
Provide or obtain dental services for each resident. | Health | 2023-10-10 | 2023-11-14 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-10 | 2023-11-10 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-10-10 | 2023-11-10 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-10 | 2023-11-10 | 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 | 2023-10-10 | 2023-11-10 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-10 | 2023-11-10 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-10 | 2023-11-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-10 | 2023-11-10 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-10 | 2023-11-10 | N |
Post nurse staffing information every day. | Health | 2023-10-10 | 2023-11-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-10 | 2023-11-10 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-29 | 2023-10-01 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-29 | 2023-10-01 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-23 | 2023-06-19 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-05-23 | 2023-06-19 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-05-01 | 2023-06-01 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-01 | 2023-06-01 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-01 | 2023-06-01 | Y |
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-11-09 | 2022-12-08 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-09 | 2022-12-08 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-09 | 2022-12-08 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-09 | 2022-12-08 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-11-09 | 2022-12-08 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-12 | 2022-09-13 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-12 | 2022-09-13 | 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 | 2022-08-12 | 2022-09-13 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-12 | 2022-09-13 | N |
Report COVID19 data to residents and families. | Health | 2022-08-31 | 2022-09-01 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-26 | 2022-07-27 | N |
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-07-26 | 2022-07-27 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-14 | 2022-02-28 | Y |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-02-14 | 2022-02-28 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-07 | 2022-01-08 | Y |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-01-07 | 2022-01-08 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-01-07 | 2022-01-08 | Y |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-11-26 | Not Fixed | N |
Install an approved automatic sprinkler system. | Fire Safety | 2024-11-26 | Not Fixed | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-11-26 | Not Fixed | N |
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