Deficiency Records for Arbor Court
Updated as of April 01, 2023
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? |
---|---|---|---|---|
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-19 | 2022-12-20 | Y |
Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2022-10-05 | 2022-11-11 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-10-05 | 2022-11-11 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-05 | 2022-11-11 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-05 | 2022-11-11 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-05 | 2022-11-11 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-04 | 2022-02-15 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-03 | 2022-02-15 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-03 | 2022-01-04 | Y |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-01-03 | 2022-01-04 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-03 | 2022-01-04 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-03 | 2022-01-04 | Y |
Provide appropriate foot care. | Health | 2022-01-03 | 2022-01-04 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-03 | 2022-01-04 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-01-03 | 2022-01-04 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-03 | 2022-01-04 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-11-03 | 2022-01-04 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-13 | 2022-01-04 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-13 | 2022-01-04 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-11-03 | 2021-11-16 | Y |
Post nurse staffing information every day. | Health | 2021-09-13 | 2021-10-11 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-13 | 2021-10-11 | Y |
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 |
Provide and implement an infection prevention and control program. | 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 |
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 |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-03 | Not Fixed | Y |