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Deficiency Records for Arbor Glen Center
View the most recent health deficiencies and inspection results for Arbor Glen Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Arbor Glen Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2025-12-10 | 2026-02-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-12-10 | 2026-02-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-12-10 | 2026-02-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-12-10 | 2026-02-05 | N |
| Post nurse staffing information every day. | Health | 2025-12-10 | 2026-01-26 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-12-10 | 2026-01-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-12-10 | 2026-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-10 | 2026-01-26 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2025-12-10 | 2026-01-26 | 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 | 2025-12-10 | 2026-01-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-12-10 | 2026-01-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-12-10 | 2026-01-26 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-12-10 | 2026-01-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-10 | 2026-01-26 | 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 | 2025-12-10 | 2026-01-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-10 | 2026-01-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-12-10 | 2026-01-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-12-10 | 2025-12-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-12-10 | 2025-12-30 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-12-10 | 2025-12-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-12-10 | 2025-12-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-12-10 | 2025-12-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-12-10 | 2025-12-30 | 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 | 2025-12-10 | 2025-12-30 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2025-12-10 | 2025-12-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-10 | 2025-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-10 | 2025-12-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-12-10 | 2025-12-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-01 | 2025-12-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-13 | 2025-03-17 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-08-09 | 2024-10-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-09 | 2024-09-03 | Y |
| 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 | 2024-08-09 | 2024-09-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-09 | 2024-09-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-09 | 2024-09-03 | N |
| 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 | 2024-08-09 | 2024-09-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-09 | 2024-09-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-08-09 | 2024-09-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-09 | 2024-09-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-09 | 2024-09-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-08-09 | 2024-09-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-08-09 | 2024-09-03 | 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 | 2024-08-09 | 2024-09-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-09 | 2024-09-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-09 | 2024-09-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-08-09 | 2024-09-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-09 | 2024-09-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-09 | 2024-09-03 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-08-30 | 2022-10-14 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-08-30 | 2022-10-14 | 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 | 2022-08-30 | 2022-10-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-30 | 2022-09-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-30 | 2022-09-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-30 | 2022-09-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-30 | 2022-09-22 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-08-30 | 2022-09-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-08-30 | 2022-09-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-30 | 2022-09-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-30 | 2022-09-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-30 | 2022-09-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-30 | 2022-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-30 | 2022-09-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-30 | 2022-09-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-30 | 2022-09-22 | 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 | 2022-08-30 | 2022-09-22 | N |