A list of the most recent deficiencies for Arbor Care Centers-Tekamah 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-14 | 2023-10-23 | 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 | 2023-09-14 | 2023-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-14 | 2023-10-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-14 | 2023-10-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-14 | 2023-10-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-14 | 2023-10-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-14 | 2023-10-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-09-14 | 2023-10-15 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-09-14 | 2023-10-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-09-14 | 2023-10-15 | 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 | 2022-07-21 | 2022-09-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-07-21 | 2022-09-16 | 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 | 2022-07-21 | 2022-09-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-21 | 2022-09-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-21 | 2022-09-16 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-07-21 | 2022-09-16 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-21 | 2022-09-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-07-19 | 2022-09-09 | 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 | 2022-07-19 | 2022-09-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-19 | 2022-09-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-19 | 2022-09-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-19 | 2022-09-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-19 | 2022-09-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-19 | 2022-09-09 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-07-19 | 2022-09-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-03-18 | 2021-06-04 | 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 | 2021-03-18 | 2021-06-04 | 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 | 2021-03-18 | 2021-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-18 | 2021-06-04 | 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 | 2021-03-16 | 2021-05-16 | 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 | 2021-03-16 | 2021-05-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-16 | 2021-05-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-16 | 2021-05-16 | N |
