A list of the most recent deficiencies for Center at Arrowhead, LLC. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-20 | 2023-10-18 | Y |
| Report COVID19 data to residents and families. | Health | 2022-11-10 | 2022-12-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-10 | 2022-12-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-10 | 2022-12-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-10 | 2022-12-30 | Y |
| 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 | 2022-11-10 | 2022-12-30 | 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 | 2022-11-10 | 2022-12-30 | 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 | 2022-11-10 | 2022-12-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-14 | 2022-07-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-14 | 2022-07-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-14 | 2022-07-25 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-07-21 | 2021-08-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-21 | 2021-08-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-21 | 2021-08-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-21 | 2021-08-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-21 | 2021-08-30 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2021-07-21 | 2021-08-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-21 | 2021-08-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-23 | 2021-08-26 | N |
| 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 | 2021-07-23 | 2021-08-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-23 | 2021-08-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-23 | 2021-08-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-23 | 2021-08-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-23 | 2021-08-26 | 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 | 2021-07-23 | 2021-08-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-23 | 2021-08-26 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-07-23 | 2021-08-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-23 | 2021-08-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-23 | 2021-08-26 | 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 | 2021-07-23 | 2021-08-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-23 | 2021-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-23 | 2021-08-26 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-07-23 | 2021-08-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-23 | 2021-08-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-23 | 2021-08-26 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-17 | 2019-06-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-17 | 2019-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-17 | 2019-06-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-17 | 2019-06-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-17 | 2019-06-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-16 | 2019-06-10 | N |
