CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Ark Healthcare and Rehabilitation at Governor's Ho
View the most recent health deficiencies and inspection results for Ark Healthcare and Rehabilitation at Governor's Ho. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Ark Healthcare and Rehabilitation at Governor's Ho. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-30 | 2026-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-30 | 2026-02-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-12-30 | 2026-02-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-30 | 2026-02-10 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-30 | 2026-01-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-30 | 2026-01-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-12-30 | 2026-01-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-12-30 | 2026-01-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-12-30 | 2026-01-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-05 | 2025-06-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-27 | 2025-04-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-27 | 2025-04-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-23 | 2024-05-10 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-13 | 2024-05-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-13 | 2024-04-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-13 | 2024-04-26 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-13 | 2024-04-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-13 | 2024-04-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-13 | 2024-04-26 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-13 | 2024-04-26 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-03-13 | 2024-04-26 | Y |
| 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 | 2024-03-13 | 2024-04-26 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-03-13 | 2024-04-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-13 | 2024-04-26 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-03-13 | 2024-04-26 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-13 | 2024-04-26 | Y |
| 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 | 2024-03-13 | 2024-04-26 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-03-13 | 2024-04-26 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-03-13 | 2024-04-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-13 | 2024-04-26 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-03-13 | 2024-04-26 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-03-13 | 2024-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-13 | 2024-04-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-23 | 2024-02-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-23 | 2024-02-09 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-12-07 | 2022-03-21 | N |
| Meet other general requirements. | Fire Safety | 2021-12-07 | 2022-03-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-07 | 2022-03-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-12-07 | 2022-03-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-12-07 | 2022-03-21 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-12-07 | 2022-03-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-07 | 2022-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-07 | 2022-03-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-12-07 | 2022-03-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-07 | 2022-03-21 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-12-07 | 2022-03-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-07 | 2022-03-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-07 | 2022-03-21 | 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 | 2021-12-07 | 2022-01-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-07 | 2022-01-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-07 | 2022-01-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-07 | 2022-01-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-07 | 2022-01-18 | 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 | 2021-12-07 | 2022-01-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-07 | 2022-01-18 | N |