A list of the most recent deficiencies for Arbor Care Centers-Franklin LLC. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-03-28 | 2023-05-12 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-03-28 | 2023-05-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-28 | 2023-05-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-28 | 2023-05-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-28 | 2023-05-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-28 | 2023-05-12 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2023-03-28 | 2023-05-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-28 | 2023-05-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-28 | 2023-05-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-28 | 2023-05-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-28 | 2023-05-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-28 | 2023-05-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-30 | 2023-05-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-03-30 | 2023-05-10 | 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 | 2023-03-30 | 2023-05-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-30 | 2023-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-30 | 2023-05-10 | 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 | 2023-03-30 | 2023-05-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-30 | 2023-05-10 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-30 | 2023-05-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-02 | 2021-12-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-02 | 2021-12-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-02 | 2021-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-02 | 2021-12-29 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-11-02 | 2021-12-29 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-11-02 | 2021-12-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-28 | 2021-12-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-10-28 | 2021-12-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-28 | 2021-12-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-16 | 2019-11-30 | 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 | 2019-10-16 | 2019-11-30 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-10-16 | 2019-11-30 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-10-16 | 2019-11-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-16 | 2019-11-30 | 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 | 2019-10-16 | 2019-11-30 | 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 | 2019-10-16 | 2019-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-16 | 2019-11-30 | 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 | 2019-10-16 | 2019-11-30 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-10-16 | 2019-11-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-16 | 2019-11-30 | 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 | 2019-10-10 | 2019-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-10 | 2019-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-10 | 2019-11-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-10 | 2019-11-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-10-10 | 2019-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-10 | 2019-11-30 | N |
