A list of the most recent deficiencies for Arrowhead Springs Healthcare. 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 pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-01 | 2023-09-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-31 | 2023-09-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-27 | 2022-10-10 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2022-05-31 | 2022-07-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-05-31 | 2022-07-06 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-31 | 2022-07-06 | 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 | 2022-05-31 | 2022-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-31 | 2022-07-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-31 | 2022-07-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-31 | 2022-07-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-31 | 2022-07-06 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-05-31 | 2022-07-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-31 | 2022-07-06 | 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 | 2022-05-26 | 2022-06-22 | 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 | 2022-05-26 | 2022-06-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-26 | 2022-06-22 | 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 | 2022-05-26 | 2022-06-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-26 | 2022-06-22 | 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 | 2022-05-26 | 2022-06-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-26 | 2022-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-26 | 2022-06-22 | N |
| Keep all essential equipment working safely. | Health | 2022-05-26 | 2022-06-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-23 | 2022-02-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-17 | 2021-09-24 | N |
| Report COVID19 data to residents and families. | Health | 2021-09-17 | 2021-09-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-10 | 2021-06-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-10 | 2021-06-10 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-29 | 2020-01-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-18 | 2019-11-12 | 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 | 2019-10-18 | 2019-11-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-18 | 2019-11-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-18 | 2019-11-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-18 | 2019-11-12 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-10-18 | 2019-11-12 | 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 | 2019-10-18 | 2019-11-12 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-10-18 | 2019-11-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-18 | 2019-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-18 | 2019-11-12 | N |
| Keep all essential equipment working safely. | Health | 2019-10-18 | 2019-11-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-12-10 | 2018-12-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-10 | 2018-12-26 | N |
| Use approved construction type or materials. | Fire Safety | 2018-12-10 | 2018-12-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-10 | 2018-12-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-10 | 2018-12-26 | 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 | 2018-10-15 | 2018-12-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-15 | 2018-12-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-15 | 2018-12-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-15 | 2018-12-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-10-15 | 2018-12-04 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-10-15 | 2018-12-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-15 | 2018-12-04 | N |
