Deficiency Records for Arbor Springs of West Des Moines L L C
Updated as of March 01, 2024
A list of the most recent deficiencies for Arbor Springs of West Des Moines L L C. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-13 | 2023-04-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-13 | 2023-04-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-13 | 2023-04-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-13 | 2023-04-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-13 | 2023-04-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-13 | 2023-04-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-09 | 2023-03-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-09 | 2023-03-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-09 | 2023-03-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-25 | 2022-09-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-25 | 2022-09-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-25 | 2022-09-13 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-09-08 | 2021-09-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-08 | 2021-09-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-08 | 2021-09-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-09 | 2021-09-13 | 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 | 2021-09-09 | 2021-09-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-08 | 2021-09-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-08 | 2021-09-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-30 | 2021-06-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-30 | 2020-01-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-30 | 2020-01-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-30 | 2020-01-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-12-24 | 2020-01-24 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-12-24 | 2020-01-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-24 | 2020-01-24 | 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 | 2019-12-24 | 2020-01-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-24 | 2020-01-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-12-24 | 2020-01-24 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-12-24 | 2020-01-24 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-12-24 | 2020-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-24 | 2020-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-30 | 2020-01-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-30 | 2020-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-30 | 2020-01-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-30 | 2020-01-02 | 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 | 2019-12-30 | 2019-12-30 | N |
