A list of the most recent deficiencies for Archer Heights Healthcare. 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 appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-22 | 2024-03-01 | Y |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-26 | 2024-02-06 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-24 | 2023-12-29 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-12-24 | 2023-12-29 | 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 | 2023-11-09 | 2023-11-16 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-09 | 2023-11-16 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-09 | 2023-11-16 | Y |
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-11-09 | 2023-11-16 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-25 | 2023-10-11 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-25 | 2023-10-11 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-25 | 2023-10-11 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-25 | 2023-10-11 | 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 | 2023-09-25 | 2023-10-11 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-09-25 | 2023-10-11 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-25 | 2023-10-11 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-25 | 2023-07-07 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-26 | 2023-06-30 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-06-26 | 2023-06-30 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-25 | 2023-05-12 | 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 | 2023-04-25 | 2023-05-12 | 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 | 2023-04-25 | 2023-05-12 | N |
Have exits that are accessible at all times. | Fire Safety | 2023-04-25 | 2023-05-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-25 | 2023-05-12 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-25 | 2023-05-12 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-04-25 | 2023-05-12 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-25 | 2023-05-12 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-25 | 2023-05-12 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-25 | 2023-05-12 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-26 | 2023-05-10 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-04-26 | 2023-05-10 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-04-26 | 2023-05-10 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-26 | 2023-05-10 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-04-26 | 2023-05-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-26 | 2023-05-10 | 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 | 2023-04-26 | 2023-05-10 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-26 | 2023-05-10 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-26 | 2023-05-10 | N |
Post nurse staffing information every day. | Health | 2023-04-26 | 2023-05-10 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-26 | 2023-05-10 | 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 | 2023-04-26 | 2023-05-10 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-26 | 2023-05-10 | 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 | 2023-04-26 | 2023-05-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-26 | 2023-05-10 | N |
Dispose of garbage and refuse properly. | Health | 2023-04-26 | 2023-05-10 | N |
Provide and implement an infection prevention and control program. | Health | 2023-04-26 | 2023-05-10 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-26 | 2023-05-10 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-13 | 2023-04-21 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-24 | 2023-03-31 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-24 | 2023-03-31 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-02-27 | 2023-03-16 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-27 | 2023-03-16 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-27 | 2023-03-16 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-27 | 2023-03-16 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-27 | 2023-03-16 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-27 | 2023-03-16 | Y |
Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-02-27 | 2023-03-16 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-30 | 2022-10-19 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-19 | 2022-10-06 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-08 | 2022-08-19 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-01 | 2022-07-08 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-01 | 2022-07-08 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2022-05-25 | 2022-06-16 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-25 | 2022-06-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-25 | 2022-06-13 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-25 | 2022-06-09 | 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 | 2022-05-25 | 2022-06-09 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-05-25 | 2022-06-09 | N |
Have exits that are accessible at all times. | Fire Safety | 2022-05-25 | 2022-06-09 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-05-25 | 2022-06-09 | 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 | 2022-05-25 | 2022-06-09 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-05-25 | 2022-06-09 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-25 | 2022-06-09 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-25 | 2022-06-09 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-05-25 | 2022-06-09 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-25 | 2022-06-09 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-25 | 2022-06-09 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-25 | 2022-06-09 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-25 | 2022-06-09 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2022-05-25 | 2022-06-09 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-05-25 | 2022-06-09 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-25 | 2022-06-09 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-25 | 2022-06-09 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-05-25 | 2022-06-09 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-20 | 2022-06-06 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-20 | 2022-06-06 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-05-20 | 2022-06-06 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-20 | 2022-06-06 | 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 | 2022-05-20 | 2022-06-06 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-20 | 2022-06-06 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-20 | 2022-06-06 | 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 | 2022-05-20 | 2022-06-06 | N |
Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-05-20 | 2022-06-06 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-20 | 2022-06-06 | Y |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-05-20 | 2022-06-06 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-20 | 2022-06-06 | Y |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-25 | 2022-06-06 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-25 | 2022-05-26 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-29 | 2022-04-12 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-06 | 2022-03-11 | 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 | 2022-03-06 | 2022-03-11 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-16 | 2022-03-03 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-16 | 2022-03-03 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-28 | 2021-11-02 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-28 | 2021-11-02 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-07 | 2021-10-18 | Y |
Provide appropriate foot care. | Health | 2021-10-07 | 2021-10-18 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-07 | 2021-10-18 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-07 | 2021-10-18 | Y |
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-08-19 | 2021-08-24 | Y |
Establish staff and initial training requirements. | Fire Safety | 2021-07-28 | 2021-08-24 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-28 | 2021-08-24 | 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 | 2021-07-28 | 2021-08-24 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-28 | 2021-08-24 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-28 | 2021-08-24 | 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 | 2021-07-28 | 2021-08-24 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-07-28 | 2021-08-24 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-07-28 | 2021-08-24 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-28 | 2021-08-24 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-28 | 2021-08-24 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-28 | 2021-08-24 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-05 | 2021-08-13 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-22 | 2021-08-13 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-07-22 | 2021-08-13 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-22 | 2021-08-13 | N |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-07-22 | 2021-08-13 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-07-22 | 2021-08-13 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-22 | 2021-08-13 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-07-22 | 2021-08-13 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-22 | 2021-08-13 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-22 | 2021-08-13 | 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 | 2021-07-22 | 2021-08-13 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-22 | 2021-08-13 | N |
Dispose of garbage and refuse properly. | Health | 2021-07-22 | 2021-08-13 | N |
Provide and implement an infection prevention and control program. | Health | 2021-07-22 | 2021-08-13 | 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 | 2021-07-22 | 2021-08-13 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-22 | 2021-08-13 | N |
Have policies on smoking. | Health | 2021-07-22 | 2021-08-13 | N |
Respond appropriately to all alleged violations. | Health | 2021-06-04 | 2021-06-17 | Y |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-06-04 | 2021-06-17 | Y |