Deficiency Records for Arbor Trail Rehab and Skilled Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Arbor Trail Rehab and Skilled Nursing Center. 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? |
|---|---|---|---|---|
| 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 | 2024-02-07 | 2024-03-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-07 | 2024-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-05 | 2024-03-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-05 | 2024-03-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-05 | 2024-03-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-23 | 2022-09-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-08-25 | 2022-09-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-25 | 2022-09-16 | 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 | 2022-08-25 | 2022-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-25 | 2022-09-16 | N |
| Post nurse staffing information every day. | Health | 2022-08-25 | 2022-09-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-25 | 2022-09-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-23 | 2022-09-16 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-08-23 | 2022-09-16 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-08-23 | 2022-09-16 | N |
| Establish methods for sharing information. | Fire Safety | 2022-08-23 | 2022-09-16 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-08-23 | 2022-09-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-23 | 2022-09-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-23 | 2022-09-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-23 | 2022-09-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-23 | 2022-09-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-23 | 2022-09-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-23 | 2022-09-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-23 | 2022-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-23 | 2022-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-04 | 2021-04-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-04 | 2021-04-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-04 | 2021-04-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-04 | 2021-04-09 | N |
