A list of the most recent deficiencies for Arbor View. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-06 | 2023-05-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-16 | 2023-03-20 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-03-16 | 2023-03-20 | 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 | 2023-03-16 | 2023-03-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-16 | 2023-03-20 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-03-16 | 2023-03-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-06 | 2022-03-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-06 | 2022-01-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-06 | 2022-01-31 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-01-06 | 2022-01-31 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-01-06 | 2022-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-05 | 2021-11-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-05 | 2021-11-05 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-11-05 | 2021-11-05 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-12-30 | 2021-01-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-12-30 | 2021-01-12 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2020-12-30 | 2021-01-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-12-30 | 2021-01-12 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2020-12-30 | 2021-01-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-28 | 2020-12-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-28 | 2020-12-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-10-28 | 2020-12-11 | N |
| Provide activities to meet all resident's needs. | Health | 2020-10-28 | 2020-12-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-10-28 | 2020-11-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-10-28 | 2020-11-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-10-28 | 2020-11-29 | N |
| Respond appropriately to all alleged violations. | Health | 2020-10-28 | 2020-11-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-28 | 2020-11-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-28 | 2020-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-28 | 2020-11-29 | 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 | 2020-10-28 | 2020-11-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-10-28 | 2020-11-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-10-28 | 2020-11-29 | 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 | 2020-10-28 | 2020-11-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-10-28 | 2020-11-29 | 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 | 2020-10-28 | 2020-11-29 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-10-28 | 2020-11-29 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2020-10-28 | 2020-11-29 | N |
