A list of the most recent deficiencies for Arc at El Paso. 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 enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-18 | 2023-10-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-29 | 2023-04-21 | 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 | 2023-03-29 | 2023-04-21 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-03-29 | 2023-04-21 | Y |
| Post nurse staffing information every day. | Health | 2023-03-03 | 2023-04-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-03 | 2023-04-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-03 | 2023-04-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-06 | 2023-03-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-06 | 2023-03-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-06 | 2023-03-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-06 | 2023-03-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-10 | 2022-04-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-10 | 2022-04-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-03-09 | 2022-04-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-09 | 2021-08-03 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-01-28 | 2021-02-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-01-28 | 2021-02-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-01-28 | 2021-02-12 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-01-28 | 2021-02-12 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-01-28 | 2021-02-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-01-28 | 2021-02-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-01-28 | 2021-02-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-28 | 2021-01-28 | N |
