Deficiency Records for Arabella Health and Wellness of Montgomery
Updated as of April 01, 2024
A list of the most recent deficiencies for Arabella Health and Wellness of Montgomery. 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? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-30 | 2023-10-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-30 | 2023-10-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-30 | 2023-10-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-30 | 2023-10-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-30 | 2023-10-04 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-18 | 2023-02-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-18 | 2023-02-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-18 | 2023-02-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-18 | 2023-02-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-18 | 2023-02-23 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-01-11 | 2023-02-14 | 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 | 2023-01-11 | 2023-02-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-11 | 2023-02-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-01-11 | 2023-02-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-11 | 2023-02-14 | N |
| 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 | 2023-01-11 | 2023-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-11 | 2023-02-14 | N |
| Dispose of garbage and refuse properly. | Health | 2023-01-11 | 2023-02-14 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-01-11 | 2023-02-14 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2023-01-11 | 2023-02-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-11 | 2023-02-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-11 | 2023-02-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-11 | 2023-02-14 | 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 | 2021-11-22 | 2021-12-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-22 | 2021-12-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-22 | 2021-11-02 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| Develop a communication plan. | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| Establish methods for sharing information. | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-28 | 2021-10-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-09-23 | 2021-10-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-09-23 | 2021-10-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-09-23 | 2021-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-23 | 2021-10-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-23 | 2021-10-15 | N |
| 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 | 2021-09-23 | 2021-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-23 | 2021-10-15 | 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 | 2021-06-16 | 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 | 2021-05-21 | 2021-06-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-19 | 2020-01-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-01-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-26 | 2020-01-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-26 | 2020-01-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-12-26 | 2020-01-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-26 | 2020-01-30 | N |
