Deficiency Records for Arcadia Care Bloomington
Updated as of August 01, 2018
This is not the most recent data for Arcadia Care Bloomington. For the most recent information, click here.
A list of the most recent deficiencies for Arcadia Care Bloomington. 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 that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-03-30 | 2018-04-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-30 | 2018-04-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-03-30 | 2018-04-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-30 | 2018-04-25 | 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 | 2018-03-29 | 2018-04-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-29 | 2018-04-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-29 | 2018-04-25 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-03-29 | 2018-04-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-29 | 2018-04-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-03-29 | 2018-04-25 | 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 | Health | 2018-03-29 | 2018-04-25 | N |
| Post nurse staffing information every day. | Health | 2018-03-29 | 2018-04-25 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-03-29 | 2018-04-25 | 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 ne | Health | 2018-03-29 | 2018-04-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-03-29 | 2018-04-25 | 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 | 2018-03-29 | 2018-04-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-29 | 2018-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-29 | 2018-04-25 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-03-29 | 2018-04-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-06 | 2017-12-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2017-12-06 | 2017-12-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-22 | 2017-12-08 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-11-22 | 2017-12-08 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-22 | 2017-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-14 | 2017-12-08 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-14 | 2017-12-01 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-11-14 | 2017-12-01 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-14 | 2017-12-01 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-11-03 | 2017-12-01 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-09-27 | 2017-12-01 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-08-09 | 2017-12-01 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-14 | 2017-11-28 | Y |
| Provide residents with private access to a telephone. | Health | 2017-11-03 | 2017-11-28 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-11-03 | 2017-11-28 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-11-03 | 2017-11-28 | Y |
| Provide adequate and comfortable lighting levels in all areas. | Health | 2017-11-03 | 2017-11-28 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-03 | 2017-11-28 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-11-03 | 2017-11-28 | Y |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2017-11-03 | 2017-11-28 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-11-03 | 2017-11-28 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-03 | 2017-11-28 | Y |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-11-03 | 2017-11-28 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-09-27 | 2017-11-28 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-08-24 | 2017-11-28 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-24 | 2017-11-28 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-06 | 2017-11-28 | Y |
| Provide written records when a resident is transferred or discharged. | Health | 2017-10-19 | 2017-11-10 | Y |
| Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. | Health | 2017-10-19 | 2017-11-10 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-09-27 | 2017-11-03 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-09-27 | 2017-11-03 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-09-27 | 2017-11-03 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-09-27 | 2017-11-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-09-27 | 2017-11-03 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-27 | 2017-11-03 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-09-27 | 2017-11-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-27 | 2017-11-03 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-09-27 | 2017-11-03 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-09-27 | 2017-11-03 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-27 | 2017-11-03 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-09-27 | 2017-11-03 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-08-24 | 2017-11-03 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-08-24 | 2017-11-03 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-08-24 | 2017-11-03 | Y |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-08-24 | 2017-11-03 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-24 | 2017-11-03 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-08-24 | 2017-11-03 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-08-24 | 2017-11-03 | Y |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2017-08-24 | 2017-11-03 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-08-09 | 2017-11-03 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-09 | 2017-11-03 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-09 | 2017-11-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-08-09 | 2017-11-03 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-09 | 2017-11-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-09 | 2017-11-03 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-08-09 | 2017-11-03 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-08-09 | 2017-11-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-07-06 | 2017-11-03 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-06 | 2017-11-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-06 | 2017-11-03 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-07-06 | 2017-11-03 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-07-06 | 2017-11-03 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-07-06 | 2017-11-03 | Y |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-08-24 | 2017-11-02 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-09-27 | 2017-10-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-19 | 2017-09-07 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2017-04-26 | 2017-05-20 | 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 | 2017-04-26 | 2017-05-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-04-26 | 2017-05-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-04-26 | 2017-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-26 | 2017-05-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-04-26 | 2017-05-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-04-26 | 2017-05-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-04-26 | 2017-05-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-26 | 2017-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-04-26 | 2017-05-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-04-26 | 2017-05-20 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2017-04-26 | 2017-05-20 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2017-05-02 | 2017-05-12 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-02 | 2017-05-12 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-04-20 | 2017-05-03 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-20 | 2017-05-03 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-20 | 2017-05-03 | N |
| Provide resident groups or resident family groups with private space to meet. | Health | 2017-04-20 | 2017-05-03 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-04-20 | 2017-05-03 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-04-20 | 2017-05-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-20 | 2017-05-03 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-04-20 | 2017-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-20 | 2017-05-03 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-04-20 | 2017-05-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-04-20 | 2017-05-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-20 | 2017-05-03 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-04-20 | 2017-05-03 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-20 | 2017-05-03 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-04-20 | 2017-05-03 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-04-20 | 2017-05-03 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-20 | 2017-05-03 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-20 | 2017-05-03 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-04-04 | 2017-04-12 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-29 | 2017-04-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-29 | 2017-04-12 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-03-29 | 2017-04-12 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2017-03-29 | 2017-04-12 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-03-29 | 2017-04-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-01-18 | 2017-02-01 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-01-18 | 2017-02-01 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-01-18 | 2017-02-01 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-01-18 | 2017-02-01 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-01-18 | 2017-02-01 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-12-29 | 2017-01-11 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-12-29 | 2017-01-11 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-10-18 | 2016-11-03 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-10-18 | 2016-11-03 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-10-18 | 2016-11-03 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-10-18 | 2016-11-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-18 | 2016-10-18 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-09-20 | 2016-10-04 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-09-20 | 2016-10-04 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-09-20 | 2016-10-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-20 | 2016-10-04 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-07-25 | 2016-08-30 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-07-25 | 2016-08-30 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-07-25 | 2016-08-30 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-07-25 | 2016-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-25 | 2016-08-30 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-07-25 | 2016-08-30 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-08-04 | 2016-08-22 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-08-04 | 2016-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-29 | 2016-07-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-20 | 2016-07-18 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-06-20 | 2016-07-18 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-06-20 | 2016-07-18 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-20 | 2016-07-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-20 | 2016-07-18 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-20 | 2016-07-18 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-05-19 | 2016-05-24 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-05-19 | 2016-05-24 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-03-01 | 2016-05-18 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-03-30 | 2016-04-09 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-03-01 | 2016-04-08 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-03-01 | 2016-04-08 | N |
| A written emergency evacuation plan. | Fire Safety | 2016-03-01 | 2016-04-08 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-03-01 | 2016-04-08 | N |
| Portable fire extinguishers. | Fire Safety | 2016-03-01 | 2016-04-08 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-03-01 | 2016-04-08 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-03-01 | 2016-04-08 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2016-03-01 | 2016-04-08 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2016-03-01 | 2016-04-08 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2016-03-01 | 2016-04-08 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-03-01 | 2016-04-08 | N |
| The appropriate emergency electrical system. | Fire Safety | 2016-03-01 | 2016-04-08 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-01 | 2016-04-08 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2016-03-01 | 2016-04-08 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2016-03-01 | 2016-04-08 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-03-08 | 2016-04-08 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-03-08 | 2016-04-08 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-03-08 | 2016-04-08 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2016-03-08 | 2016-04-08 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-03-08 | 2016-04-08 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-03-08 | 2016-04-08 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-08 | 2016-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-08 | 2016-04-08 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-08 | 2016-04-08 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-03-08 | 2016-04-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-03-08 | 2016-04-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-08 | 2016-04-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-03-08 | 2016-04-08 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2016-03-08 | 2016-04-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-03-08 | 2016-04-08 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-02-25 | 2016-03-14 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-02-25 | 2016-03-14 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-02-25 | 2016-03-14 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-25 | 2016-03-14 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-12-21 | 2016-01-06 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-12-21 | 2016-01-06 | Y |
| Provide written records when a resident is transferred or discharged. | Health | 2015-11-10 | 2015-11-19 | Y |
| Provide timely notification to the resident before transfer or discharge. | Health | 2015-11-10 | 2015-11-19 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-11-02 | 2015-11-19 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-11-02 | 2015-11-19 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-11-02 | 2015-11-19 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-11-02 | 2015-11-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-09-15 | 2015-10-09 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-09-02 | 2015-10-02 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-09-02 | 2015-10-02 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-08-26 | 2015-09-18 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-08-26 | 2015-09-18 | Y |
