A list of the most recent deficiencies for Arcadia Care Auburn. 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? |
|---|---|---|---|---|
| Establish staff and initial training requirements. | Fire Safety | 2024-01-09 | 2024-01-25 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-09 | 2024-01-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-09 | 2024-01-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-09 | 2024-01-25 | 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 | 2024-01-11 | 2024-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-11 | 2024-01-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-22 | 2023-11-27 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-22 | 2023-11-27 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-04 | 2023-08-05 | Y |
| 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 | 2023-06-08 | 2023-06-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-04 | 2023-05-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-04 | 2023-05-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-04 | 2023-05-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-03 | 2023-03-07 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-03-03 | 2023-03-07 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-01-13 | 2023-01-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-23 | 2023-01-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-23 | 2023-01-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-23 | 2023-01-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-16 | 2022-12-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-10 | 2022-12-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-10 | 2022-12-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-11-10 | 2022-12-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-02 | 2022-12-06 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-10-26 | 2022-12-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-10-26 | 2022-12-06 | N |
| Develop a communication plan. | Fire Safety | 2022-10-26 | 2022-12-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-10-26 | 2022-12-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-26 | 2022-12-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-10-26 | 2022-12-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-10-26 | 2022-12-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-26 | 2022-12-06 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2022-10-26 | 2022-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-26 | 2022-12-06 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-11-16 | 2022-11-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-02 | 2022-11-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-02 | 2022-11-28 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-11-02 | 2022-11-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-02 | 2022-11-28 | 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 | 2022-11-02 | 2022-11-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-02 | 2022-11-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-02 | 2022-11-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-11-02 | 2022-11-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-02 | 2022-11-28 | 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 | 2022-11-02 | 2022-11-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-02 | 2022-11-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-20 | 2022-11-07 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-10-20 | 2022-11-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-20 | 2022-11-07 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-20 | 2022-02-21 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-01-20 | 2022-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-20 | 2022-02-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-01-20 | 2022-02-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-11 | 2022-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-10 | 2022-02-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-23 | 2022-02-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-20 | 2022-02-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-20 | 2022-02-07 | N |
| 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 | 2022-01-20 | 2022-02-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-20 | 2022-02-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-20 | 2022-02-07 | 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 | 2022-01-20 | 2022-02-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-01-20 | 2022-02-07 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-01-20 | 2022-02-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-01-20 | 2022-02-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-20 | 2022-02-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-23 | 2021-12-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-23 | 2021-12-10 | 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 | 2021-11-23 | 2021-12-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-19 | 2021-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-11 | 2021-08-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-16 | 2021-07-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-13 | 2021-05-21 | Y |
