A list of the most recent deficiencies for Country Arch Care Center. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-19 | 2023-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-19 | 2023-11-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-19 | 2023-11-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-19 | 2023-11-09 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-10-19 | 2023-11-09 | 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 | 2023-10-19 | 2023-11-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-19 | 2023-11-09 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-19 | 2023-11-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-19 | 2023-11-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-19 | 2023-11-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-19 | 2023-11-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-11-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-19 | 2023-11-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-19 | 2023-11-09 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-10-19 | 2023-11-09 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-10-19 | 2023-11-09 | N |
| Provide or obtain dental services for each resident. | Health | 2023-10-19 | 2023-11-09 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-10-19 | 2023-11-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-19 | 2023-11-09 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-10-19 | 2023-11-09 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2023-10-19 | 2023-11-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-10-19 | 2023-11-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-09 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-10-19 | 2023-11-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-19 | 2023-11-09 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-10-19 | 2023-11-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-24 | 2023-03-16 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-01 | 2022-09-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-01 | 2022-09-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-07-01 | 2022-09-06 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2022-07-01 | 2022-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-01 | 2022-08-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-01 | 2022-08-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-01 | 2022-07-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-07-01 | 2022-07-30 | 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 | 2022-07-01 | 2022-07-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-01 | 2022-07-29 | 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 | 2022-07-01 | 2022-07-28 | 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 | 2022-07-01 | 2022-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-01 | 2022-07-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-01 | 2022-07-27 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-07-01 | 2022-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-01 | 2022-07-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-01 | 2022-07-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-01 | 2022-07-09 | 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 | 2022-07-01 | 2022-07-05 | 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 | 2022-07-01 | 2022-07-02 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-07-01 | 2022-07-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-07-01 | 2022-07-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-01 | 2022-07-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-07-01 | 2022-07-02 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-07-01 | 2022-07-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-01 | 2022-07-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-24 | 2020-01-03 | N |
