Deficiency Records for Arbor Court
Updated as of September 01, 2021
This is not the most recent data for Arbor Court. For the most recent information, click here.
A list of the most recent deficiencies for Arbor Court. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-06-03 | 2021-07-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-03 | 2021-07-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-03 | 2021-07-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-03 | 2021-07-02 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-06-03 | 2021-07-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-03 | 2021-07-02 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-06-03 | 2021-07-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-06-03 | 2021-07-02 | N |
| Post nurse staffing information every day. | Health | 2021-06-03 | 2021-07-02 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-06-03 | 2021-07-02 | 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 | 2021-06-03 | 2021-07-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-06-03 | 2021-07-02 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-06-03 | 2021-07-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-03 | 2021-07-02 | 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 | 2021-06-03 | 2021-07-02 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-26 | 2021-06-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-26 | 2021-06-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-26 | 2021-06-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-05-26 | 2021-06-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-05-26 | 2021-06-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-26 | 2021-06-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-26 | 2021-06-04 | 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 | 2019-05-08 | 2019-06-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-08 | 2019-06-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-08 | 2019-06-07 | 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 | 2019-05-08 | 2019-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-08 | 2019-06-07 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-05-08 | 2019-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-08 | 2019-06-07 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-05-15 | 2019-05-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-01-09 | 2018-02-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-01-09 | 2018-01-28 | 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 | 2018-01-09 | 2018-01-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-09 | 2018-01-10 | N |
