Deficiency Records for Arabella Health and Wellness of Montgomery
Updated as of April 01, 2022
This is not the most recent data for Arabella Health and Wellness of Montgomery. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-23 | 2019-09-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-28 | 2019-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-05-01 | 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 | 2019-04-01 | 2019-05-01 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-04-01 | 2019-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-01 | 2019-05-01 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-04-01 | 2019-05-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-04-01 | 2019-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-01 | 2019-05-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-01 | 2019-05-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-01 | 2019-05-01 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-04-01 | 2019-05-01 | N |
