Deficiency Records for Aperion Care Arbors Michigan City
Updated as of July 01, 2020
This is not the most recent data for Aperion Care Arbors Michigan City. For the most recent information, click here.
A list of the most recent deficiencies for Aperion Care Arbors Michigan City. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-21 | 2020-02-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-30 | 2020-02-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-30 | 2020-02-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-27 | 2019-12-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-27 | 2019-12-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-11-27 | 2019-12-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-20 | 2019-09-19 | 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 | 2019-08-20 | 2019-09-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-20 | 2019-09-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-20 | 2019-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-20 | 2019-09-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-20 | 2019-09-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-07-09 | 2019-09-19 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-09 | 2019-09-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-09 | 2019-09-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-20 | 2019-09-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-09 | 2019-08-20 | Y |
| Implement a program that monitors antibiotic use. | Health | 2019-07-09 | 2019-08-20 | Y |
| 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 | 2019-05-20 | 2019-08-20 | 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 | 2019-05-20 | 2019-08-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-20 | 2019-08-20 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-11 | 2019-07-09 | N |
| Meet other general requirements. | Fire Safety | 2019-06-11 | 2019-07-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-11 | 2019-07-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-11 | 2019-07-09 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-06-11 | 2019-07-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-11 | 2019-07-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-20 | 2019-07-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-05-20 | 2019-07-09 | 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 | 2019-05-20 | 2019-07-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-20 | 2019-07-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-20 | 2019-07-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-05-20 | 2019-07-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-20 | 2019-07-09 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-20 | 2019-07-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-05-20 | 2019-07-09 | 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 and maintain the bed rail. | Health | 2019-05-20 | 2019-07-09 | N |
| Post nurse staffing information every day. | Health | 2019-05-20 | 2019-07-09 | 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 | 2019-05-20 | 2019-07-09 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-05-20 | 2019-07-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-20 | 2019-07-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-20 | 2019-07-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-20 | 2019-07-09 | 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 | 2019-05-20 | 2019-07-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-05-20 | 2019-07-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-20 | 2019-07-09 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-02 | 2019-04-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-04-02 | 2019-04-18 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-02-22 | 2019-03-22 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-02-22 | 2019-03-22 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-22 | 2019-03-22 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-22 | 2019-03-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-05 | 2019-03-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-20 | 2019-01-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-20 | 2019-01-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-11-20 | 2019-01-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-12-13 | 2018-12-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-12-13 | 2018-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-13 | 2018-12-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-20 | 2018-12-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-20 | 2018-12-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-11-20 | 2018-12-20 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-11-20 | 2018-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-20 | 2018-12-20 | 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 | 2018-11-20 | 2018-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-20 | 2018-12-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-11-20 | 2018-12-20 | 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 | 2018-11-20 | 2018-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-20 | 2018-12-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-11-20 | 2018-12-20 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2018-11-20 | 2018-12-20 | 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 | 2018-11-20 | 2018-12-20 | 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 | 2018-11-20 | 2018-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-20 | 2018-12-20 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-10-11 | 2018-10-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-27 | 2018-07-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-18 | 2018-04-27 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-01 | 2018-04-17 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-01 | 2018-04-04 | 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 | 2018-02-01 | 2018-04-04 | 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 | 2018-02-01 | 2018-04-04 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-02-01 | 2018-04-04 | 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 | 2018-02-01 | 2018-04-04 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-02-01 | 2018-04-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-30 | 2018-02-26 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2017-12-18 | 2018-01-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-18 | 2018-01-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-18 | 2018-01-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2017-12-18 | 2018-01-22 | 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 | 2017-12-18 | 2018-01-22 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2017-12-18 | 2018-01-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-18 | 2018-01-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-12-18 | 2018-01-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-29 | 2017-07-24 | 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 | 2017-06-29 | 2017-07-24 | Y |
| Maintain comfortable and safe temperature levels. | Health | 2017-06-13 | 2017-07-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-11 | 2017-06-13 | Y |
| Provide written records when a resident is transferred or discharged. | Health | 2017-05-11 | 2017-06-13 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-11 | 2017-06-13 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-11 | 2017-06-13 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-05-11 | 2017-06-13 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-11 | 2017-06-13 | Y |
