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Deficiency Records for Town Hall Estates Arlington Inc

A list of the most recent deficiencies for Town Hall Estates Arlington Inc. 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 Town Hall Estates Arlington Inc. 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?
Provide and implement an infection prevention and control program. Health 2024-08-14 2024-09-11 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2024-06-20 2024-07-26 N
Address patient/client population and determine types of services needed. Fire Safety 2024-06-20 2024-07-26 N
Conduct testing and exercise requirements. Fire Safety 2024-06-20 2024-07-26 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2024-06-20 2024-07-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-06-20 2024-07-25 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-06-20 2024-07-24 N
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 2024-06-20 2024-07-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-06-20 2024-07-21 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-06-20 2024-07-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-20 2024-07-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-06-20 2024-07-20 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-06-20 2024-07-20 N
Ensure medication error rates are not 5 percent or greater. Health 2024-06-20 2024-07-20 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 2024-06-20 2024-07-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-20 2024-07-20 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-06-20 2024-07-20 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 2024-06-20 2024-07-20 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-06-20 2024-07-20 Y
Install corridor and hallway doors that block smoke. Fire Safety 2024-06-20 2024-07-18 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-06-20 2024-07-18 N
Provide properly protected cooking facilities. Fire Safety 2024-06-20 2024-07-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-06-20 2024-06-24 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-04-17 2024-05-15 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-03-08 2024-04-05 Y
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2024-03-08 2024-04-05 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-03-08 2024-04-05 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-03-08 2024-04-05 Y
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 2023-12-13 2024-01-09 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-10-03 2023-10-27 Y
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 2023-10-03 2023-10-27 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 2023-05-12 2023-06-12 N
Keep residents' personal and medical records private and confidential. Health 2023-05-11 2023-06-02 N
Observe each nurse aide's job performance and give regular training. Health 2023-05-11 2023-06-02 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-05-11 2023-06-02 N
Provide and implement an infection prevention and control program. Health 2023-05-11 2023-06-02 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-05-12 2023-06-02 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 2023-05-12 2023-06-02 N
Install an approved automatic sprinkler system. Fire Safety 2023-05-12 2023-06-02 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-05-12 2023-06-02 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-05-12 2023-06-02 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2023-05-12 2023-06-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-12 2023-06-02 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 2023-02-25 2023-03-17 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-02-25 2023-03-17 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-22 2022-10-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-29 2022-07-28 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 2022-04-19 2022-05-12 N
Install an approved automatic sprinkler system. Fire Safety 2022-04-19 2022-05-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-04-19 2022-05-12 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-04-19 2022-05-12 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-04-19 2022-05-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-04-19 2022-05-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-27 2022-02-02 Y

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