A list of the most recent deficiencies for Arc at Dwight. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-15 | 2023-03-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-15 | 2023-03-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-15 | 2023-03-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-15 | 2023-03-09 | 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 | 2023-02-17 | 2023-03-01 | 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 | 2023-02-15 | 2023-02-28 | 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 | 2022-05-24 | 2022-06-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-17 | 2021-12-31 | 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 | 2021-12-17 | 2021-12-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-16 | 2021-12-31 | N |
| Respond appropriately to all alleged violations. | Health | 2021-07-15 | 2021-08-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-19 | 2021-06-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-11 | 2021-03-29 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-08 | 2020-11-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-08 | 2020-11-04 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-10-08 | 2020-10-30 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-10-08 | 2020-10-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-10-08 | 2020-10-29 | N |
| Establish methods for sharing information. | Fire Safety | 2020-10-08 | 2020-10-29 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-10-08 | 2020-10-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-10-08 | 2020-10-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-08 | 2020-10-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-10-08 | 2020-10-28 | 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 necessary and PRN use is limited. | Health | 2020-10-08 | 2020-10-28 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-10-08 | 2020-10-28 | N |
