A list of the most recent deficiencies for Arcadia Care Morris. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-20 | 2024-03-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-12-20 | 2024-02-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-08 | 2024-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-08 | 2024-02-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-20 | 2024-01-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-20 | 2024-01-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-20 | 2024-01-18 | 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 | 2023-12-20 | 2024-01-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-20 | 2024-01-17 | 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 | 2023-12-08 | 2024-01-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-08 | 2023-12-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-20 | 2023-12-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-20 | 2023-12-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-12-20 | 2023-12-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-20 | 2023-12-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-20 | 2023-12-22 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-12-20 | 2023-12-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-12-20 | 2023-12-22 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-12-20 | 2023-12-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-20 | 2023-12-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-08 | 2023-12-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-08 | 2023-12-13 | 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 | 2023-12-08 | 2023-12-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-08 | 2023-12-13 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-12-08 | 2023-12-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-02 | 2023-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-18 | 2023-05-19 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-02 | 2023-03-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-02 | 2023-03-23 | 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 | 2023-03-02 | 2023-03-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-02 | 2023-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-17 | 2023-03-02 | 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 | 2023-02-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-17 | 2023-02-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-17 | 2023-02-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-17 | 2023-02-22 | 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 | 2023-02-17 | 2023-02-22 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-02-17 | 2023-02-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-17 | 2023-02-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-17 | 2023-02-22 | 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 | 2023-02-17 | 2023-02-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-17 | 2023-02-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-17 | 2023-02-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-08 | 2023-02-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-10 | 2023-01-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-05 | 2023-01-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-27 | 2023-01-04 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-12-13 | 2022-12-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-13 | 2022-12-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-04 | 2022-11-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-09 | 2022-10-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-16 | 2022-09-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-09 | 2022-09-16 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-02-24 | 2022-04-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Use approved construction type or materials. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-24 | 2022-03-25 | 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 | 2022-02-24 | 2022-03-25 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-02-24 | 2022-03-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-02-25 | 2022-03-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-25 | 2022-03-11 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-02-25 | 2022-03-11 | N |
| 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 | 2022-02-25 | 2022-03-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-25 | 2022-03-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-17 | 2022-03-05 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-02-17 | 2022-03-05 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-20 | 2022-01-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-29 | 2022-01-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-29 | 2022-01-07 | Y |
