Deficiency Records for Arbor Care Centers-Valhaven, LLC
Updated as of January 01, 2023
This is not the most recent data for Arbor Care Centers-Valhaven, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Arbor Care Centers-Valhaven, 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 | 2022-07-18 | 2022-08-31 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-07 | 2022-04-29 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-07 | 2022-04-29 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-07 | 2022-04-29 | 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 | 2022-03-08 | 2022-04-20 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-08 | 2022-04-20 | 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 | 2022-03-08 | 2022-04-20 | 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 | 2022-03-08 | 2022-04-20 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-08 | 2022-04-20 | N |
Provide and implement an infection prevention and control program. | Health | 2022-03-08 | 2022-04-20 | N |
Perform COVID19 testing on residents and staff. | Health | 2022-03-08 | 2022-04-20 | N |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-08 | 2022-04-20 | N |
Implement emergency and standby power systems. | Fire Safety | 2022-03-07 | 2022-04-20 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-07 | 2022-04-20 | 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 | 2022-03-07 | 2022-04-20 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-07 | 2022-04-20 | 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 | 2022-03-07 | 2022-04-20 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-03-07 | 2022-04-20 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-07 | 2022-04-20 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-07 | 2022-04-20 | N |
Meet other general requirements that are deficient. | Fire Safety | 2022-03-07 | 2022-04-20 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-07 | 2022-04-20 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-03-07 | 2022-04-20 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-07 | 2022-04-20 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-07 | 2022-04-20 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2022-03-07 | 2022-04-20 | N |
Provide and implement an infection prevention and control program. | Health | 2021-10-27 | 2021-12-03 | 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 | 2020-08-06 | 2020-09-28 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-08-06 | 2020-09-28 | 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 | 2020-08-06 | 2020-09-28 | N |
Provide and implement an infection prevention and control program. | Health | 2020-08-06 | 2020-09-28 | N |
Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2020-08-06 | 2020-09-28 | 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 | 2020-08-04 | 2020-08-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-04 | 2020-08-31 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-02-21 | 2019-04-11 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-21 | 2019-04-11 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-02-21 | 2019-04-11 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-21 | 2019-04-11 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-21 | 2019-04-11 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-21 | 2019-04-11 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-25 | 2019-03-20 | N |
Keep residents' personal and medical records private and confidential. | Health | 2019-02-25 | 2019-03-20 | 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 | 2019-02-25 | 2019-03-20 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-02-25 | 2019-03-20 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-25 | 2019-03-20 | 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 | 2019-02-25 | 2019-03-20 | N |
Provide and implement an infection prevention and control program. | Health | 2019-02-25 | 2019-03-20 | N |
Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2019-02-25 | 2019-03-20 | N |
List the names and contact information of those in the facility. | Fire Safety | 2019-02-25 | 2019-03-20 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-02-25 | 2019-03-20 | N |