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Deficiency Records for Archer Heights Healthcare
View the most recent health deficiencies and inspection results for Archer Heights Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Archer Heights Healthcare. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-03 | 2026-04-04 | 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 | 2026-02-22 | 2026-02-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-01-18 | 2026-01-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-13 | 2025-11-14 | 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 | 2025-11-13 | 2025-11-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-07-03 | 2025-07-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-06-06 | 2025-06-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-06-06 | 2025-06-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-19 | 2025-05-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-16 | 2025-05-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-16 | 2025-05-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-16 | 2025-05-17 | 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 | 2025-05-16 | 2025-05-17 | 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 | 2025-03-27 | 2025-05-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-27 | 2025-05-17 | 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 | 2025-03-19 | 2025-05-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-12 | 2025-05-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-05-07 | 2025-05-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-05-07 | 2025-05-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-07 | 2025-05-08 | Y |
| 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 | 2025-05-07 | 2025-05-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-27 | 2025-05-08 | 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 | 2025-03-27 | 2025-05-08 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-03-19 | 2025-05-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-19 | 2025-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-19 | 2025-05-06 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-27 | 2025-04-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-03-27 | 2025-04-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-03-27 | 2025-04-04 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-03-27 | 2025-04-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-03-27 | 2025-04-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-03-27 | 2025-04-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-27 | 2025-04-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-03-27 | 2025-04-04 | 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 | 2025-03-27 | 2025-04-04 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-03-27 | 2025-04-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-27 | 2025-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-27 | 2025-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-27 | 2025-03-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-03-27 | 2025-03-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-03-27 | 2025-03-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-03-27 | 2025-03-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-27 | 2025-03-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-03-27 | 2025-03-30 | 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 | 2025-03-27 | 2025-03-30 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-03-27 | 2025-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-27 | 2025-03-30 | N |
| Respond appropriately to all alleged violations. | Health | 2025-03-19 | 2025-03-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-19 | 2025-03-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-19 | 2025-03-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-02-18 | 2025-02-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-31 | 2024-11-23 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-31 | 2024-11-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-31 | 2024-11-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-10-31 | 2024-11-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-31 | 2024-11-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-31 | 2024-11-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-13 | 2024-09-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-13 | 2024-09-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-05 | 2024-09-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-05 | 2024-09-17 | Y |
| Provide appropriate foot care. | Health | 2024-09-05 | 2024-09-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-05 | 2024-09-17 | 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 | 2024-08-26 | 2024-09-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-26 | 2024-09-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-26 | 2024-09-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-15 | 2024-08-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-15 | 2024-08-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-15 | 2024-08-28 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-08-15 | 2024-08-28 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-08-15 | 2024-08-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-15 | 2024-08-28 | Y |
| 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 | 2024-08-15 | 2024-08-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-15 | 2024-08-28 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-05-31 | 2024-06-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-31 | 2024-06-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-31 | 2024-06-20 | 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 | 2024-05-31 | 2024-06-20 | 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 | 2024-05-31 | 2024-06-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-31 | 2024-06-20 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-05-31 | 2024-06-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-31 | 2024-06-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-31 | 2024-06-20 | 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 | 2024-05-31 | 2024-06-20 | 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 | 2024-05-31 | 2024-06-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-31 | 2024-06-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-31 | 2024-06-20 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-05-31 | 2024-06-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-31 | 2024-06-20 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-05-31 | 2024-06-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-31 | 2024-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-31 | 2024-06-20 | N |
| Dispose of garbage and refuse properly. | Health | 2024-05-31 | 2024-06-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-31 | 2024-06-20 | 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 | 2024-05-31 | 2024-06-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-31 | 2024-06-20 | 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 | 2024-05-31 | 2024-06-12 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-05-31 | 2024-06-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-31 | 2024-06-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-31 | 2024-06-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-05-31 | 2024-06-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-31 | 2024-06-12 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-05-31 | 2024-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-31 | 2024-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-31 | 2024-06-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-31 | 2024-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-31 | 2024-06-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-31 | 2024-06-12 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-05-31 | 2024-06-12 | 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 | 2024-05-31 | 2024-06-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-16 | 2024-05-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-16 | 2024-05-24 | 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 | 2024-05-16 | 2024-05-24 | 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 | 2024-05-16 | 2024-05-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-16 | 2024-05-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-16 | 2024-05-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-04 | 2024-04-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-04 | 2024-04-12 | Y |
| 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 |
| 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 | 2023-04-26 | 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 | 2023-04-26 | 2023-05-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-26 | 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 | 2023-04-26 | 2023-05-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-26 | 2023-05-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-26 | 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 | 2023-04-26 | 2023-05-12 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-04-26 | 2023-05-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-26 | 2023-05-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-26 | 2023-05-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-26 | 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 | 2023-04-26 | 2023-05-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | 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 |
| Dispose of garbage and refuse properly. | 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 |
| 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 |
| Ensure medication error rates are not 5 percent or greater. | 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 |
| 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 |
| Post nurse staffing information every day. | 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 |
| Provide safe and appropriate respiratory care for a resident when needed. | 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 |
| 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 |
| 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 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 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 |
| 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 |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-26 | 2023-05-10 | N |