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Deficiency Records for Arbor Hills Care and Rehab Center
View the most recent health deficiencies and inspection results for Arbor Hills Care and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Arbor Hills Care and Rehab Center. Stay informed about quality of care issues.
| 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 | 2026-02-20 | 2026-04-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-02-20 | 2026-04-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-16 | 2025-10-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-09-16 | 2025-10-29 | 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 | 2025-04-03 | 2025-04-17 | Y |
| 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 | 2025-01-28 | 2025-04-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-12 | 2025-04-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-12 | 2025-04-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-12 | 2025-04-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-12 | 2025-04-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-28 | 2025-04-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-28 | 2025-04-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-01-28 | 2025-04-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-28 | 2025-04-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-28 | 2025-04-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-28 | 2025-03-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-28 | 2025-02-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-28 | 2025-02-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-09-19 | 2024-12-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-11-15 | 2024-12-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-11-15 | 2024-12-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-19 | 2024-12-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-19 | 2024-10-22 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-09-19 | 2024-10-22 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-05-17 | 2024-08-01 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-05-17 | 2024-07-31 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-17 | 2024-07-30 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-05-17 | 2024-07-30 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-05-17 | 2024-07-30 | 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 | 2024-06-17 | 2024-07-30 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-05-17 | 2024-07-29 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-05-17 | 2024-07-09 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-05-17 | 2024-07-09 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-17 | 2024-07-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-17 | 2024-07-01 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-05-17 | 2024-07-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-17 | 2024-07-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-05-17 | 2024-07-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-17 | 2024-07-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-17 | 2024-07-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-17 | 2024-07-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-17 | 2024-07-01 | 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 | 2024-05-17 | 2024-07-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-17 | 2024-07-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-17 | 2024-07-01 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-05-17 | 2024-07-01 | Y |
| Post nurse staffing information every day. | Health | 2024-05-17 | 2024-07-01 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-05-17 | 2024-07-01 | Y |
| 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 | 2024-05-17 | 2024-07-01 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-05-17 | 2024-07-01 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-05-17 | 2024-07-01 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-17 | 2024-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-17 | 2024-05-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-17 | 2024-05-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-17 | 2024-05-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-17 | 2024-05-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-17 | 2024-05-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-23 | 2024-03-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-10 | 2024-02-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-20 | 2023-11-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-20 | 2023-11-10 | Y |