A list of the most recent deficiencies for Arbor Care Centers-Fullerton 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-17 | 2024-02-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-19 | 2024-02-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-19 | 2024-02-02 | 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 | 2023-12-19 | 2024-02-02 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-12-19 | 2024-02-02 | N |
| Respond appropriately to all alleged violations. | Health | 2023-12-19 | 2024-02-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-19 | 2024-02-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-19 | 2024-02-02 | 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 | 2023-12-19 | 2024-02-02 | 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 | 2023-12-19 | 2024-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-19 | 2024-02-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-14 | 2024-02-02 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-12-14 | 2024-02-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-14 | 2024-02-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-14 | 2024-02-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-14 | 2024-02-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-14 | 2024-02-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-14 | 2024-02-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-12-14 | 2024-02-02 | N |
| Meet other general requirements. | Fire Safety | 2022-11-17 | 2022-12-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-11-17 | 2022-12-26 | 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 | 2022-11-17 | 2022-12-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-17 | 2022-12-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-17 | 2022-12-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-17 | 2022-12-26 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-11-17 | 2022-12-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-17 | 2022-12-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-17 | 2022-12-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-17 | 2022-12-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-17 | 2022-12-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-17 | 2022-12-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-17 | 2022-12-21 | 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 | 2022-11-17 | 2022-12-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-17 | 2022-12-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-17 | 2022-12-21 | 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 | 2022-11-17 | 2022-12-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-17 | 2022-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-17 | 2022-12-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-17 | 2022-12-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-07-26 | 2021-08-15 | 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 | 2021-07-26 | 2021-08-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-07-26 | 2021-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-26 | 2021-08-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-26 | 2021-08-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-26 | 2021-08-15 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-07-22 | 2021-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-22 | 2021-08-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-22 | 2021-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-22 | 2021-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-22 | 2021-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-22 | 2021-08-15 | N |
