A list of the most recent deficiencies for Arbor Care Centers-Ord, 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-24 | 2023-10-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-24 | 2023-10-08 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-23 | 2023-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-23 | 2023-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-23 | 2023-10-08 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-02-21 | 2023-03-27 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-21 | 2023-03-27 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-02-21 | 2023-03-27 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-02-21 | 2023-03-27 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-02-21 | 2023-03-27 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-06-09 | 2022-07-08 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-06-09 | 2022-07-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-09 | 2022-07-08 | 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 | 2022-06-09 | 2022-07-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-06-09 | 2022-07-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-07-08 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-09 | 2022-07-08 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-09 | 2022-07-08 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-06-09 | 2022-07-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-09 | 2022-07-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-09 | 2022-07-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-06-09 | 2022-07-08 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-06-13 | 2022-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-13 | 2022-07-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-13 | 2022-07-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-13 | 2022-07-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-13 | 2022-07-08 | 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 | 2021-02-17 | 2021-04-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-02-17 | 2021-04-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-17 | 2021-04-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-17 | 2021-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-17 | 2021-04-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-02-17 | 2021-04-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-02-16 | 2021-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-16 | 2021-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-16 | 2021-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-16 | 2021-04-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-16 | 2021-04-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-16 | 2021-04-03 | N |
