Deficiency Records for Arkansas Veterans Home at Fayetteville
Updated as of April 01, 2024
A list of the most recent deficiencies for Arkansas Veterans Home at Fayetteville. 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? |
|---|---|---|---|---|
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-26 | 2024-02-25 | 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 | 2024-01-26 | 2024-02-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-26 | 2024-02-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-26 | 2024-02-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-26 | 2024-02-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-26 | 2024-02-25 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-01-26 | 2024-02-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-01-26 | 2024-02-25 | 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 | 2024-01-26 | 2024-02-25 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-01-26 | 2024-02-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-26 | 2024-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-26 | 2024-02-25 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-01-26 | 2024-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-26 | 2024-02-25 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-01-26 | 2024-02-25 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-01-23 | 2024-02-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-23 | 2024-02-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-23 | 2024-02-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-23 | 2024-02-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-16 | 2023-04-15 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-03-16 | 2023-04-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-16 | 2023-04-15 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-10-21 | 2022-11-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-21 | 2022-11-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-21 | 2022-11-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-21 | 2022-11-21 | 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 | 2022-10-21 | 2022-11-21 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-10-21 | 2022-11-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-21 | 2022-11-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-21 | 2022-11-15 | N |
| 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 | 2022-10-21 | 2022-11-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-21 | 2022-11-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-21 | 2022-11-15 | 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 | 2022-10-21 | 2022-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-21 | 2022-11-15 | N |
| 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 | 2022-10-21 | 2022-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-21 | 2022-11-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-10-21 | 2022-11-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-21 | 2022-11-15 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-10-21 | 2022-11-15 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-10-21 | 2022-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-18 | 2022-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-18 | 2022-11-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-21 | 2022-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-02 | 2022-03-31 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-25 | 2021-07-19 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-06-25 | 2021-07-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-25 | 2021-07-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-06-25 | 2021-07-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-23 | 2021-07-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-23 | 2021-07-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-25 | 2021-06-25 | N |
