A list of the most recent deficiencies for Arbor Care Centers-Countryside 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? |
|---|---|---|---|---|
| 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 | 2023-11-08 | 2024-01-22 | 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 | 2023-11-08 | 2024-01-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-08 | 2024-01-22 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-11-08 | 2024-01-22 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-11-08 | 2024-01-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-08 | 2024-01-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-11-14 | 2023-12-29 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-11-14 | 2023-12-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-14 | 2023-12-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-14 | 2023-12-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-14 | 2023-12-29 | 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 | 2023-11-14 | 2023-12-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-14 | 2023-12-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-27 | 2023-10-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-27 | 2023-10-27 | 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 | 2023-09-27 | 2023-10-27 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-04 | 2022-11-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-04 | 2022-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-04 | 2022-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-06 | 2022-11-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-06 | 2022-11-18 | 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 | 2022-10-06 | 2022-11-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-06 | 2022-11-18 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-10-06 | 2022-11-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-04 | 2022-10-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-04 | 2022-10-26 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-10-04 | 2022-10-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-20 | 2021-11-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-07 | 2021-08-21 | N |
| Respond appropriately to all alleged violations. | Health | 2021-07-07 | 2021-08-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-07-07 | 2021-08-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-01 | 2021-08-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-01 | 2021-08-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-01 | 2021-08-21 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-07-01 | 2021-08-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-01 | 2021-08-21 | N |
