A list of the most recent deficiencies for Arbors at Delaware. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-07 | 2023-12-27 | 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 | 2023-12-07 | 2023-12-27 | 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 | 2023-12-07 | 2023-12-27 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-12-07 | 2023-12-27 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-12-07 | 2023-12-27 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-07 | 2023-12-27 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-07 | 2023-12-27 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-07 | 2023-12-27 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-07 | 2023-12-27 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-07 | 2023-12-27 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-07 | 2023-12-27 | Y |
Use approved construction type or materials. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
Meet other general requirements that are deficient. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-04 | 2023-12-27 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-31 | 2023-11-22 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-24 | 2023-02-15 | 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 | 2023-01-24 | 2023-02-15 | Y |
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 | 2022-11-28 | 2022-12-28 | Y |
Use approved construction type or materials. | Fire Safety | 2022-11-08 | 2022-12-28 | Y |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-08 | 2022-12-28 | Y |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-08 | 2022-12-28 | Y |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-08 | 2022-12-28 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-07 | 2022-09-21 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-24 | 2022-09-21 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-24 | 2022-09-12 | Y |
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 | 2022-01-14 | 2022-02-15 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-14 | 2022-02-15 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-14 | 2022-02-15 | Y |
Respond appropriately to all alleged violations. | Health | 2022-01-14 | 2022-02-15 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-02 | 2021-10-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-02 | 2021-10-08 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-09-02 | 2021-10-08 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-09-02 | 2021-10-08 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-02 | 2021-10-08 | 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 | 2021-09-02 | 2021-10-08 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-02 | 2021-10-08 | 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 | 2021-09-02 | 2021-10-08 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-09-02 | 2021-10-08 | 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 | 2021-09-02 | 2021-10-08 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-02 | 2021-10-08 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-18 | 2019-05-17 | N |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-04-18 | 2019-05-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-18 | 2019-05-17 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-04-18 | 2019-05-17 | N |
Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-05-17 | 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 | 2019-04-15 | 2019-05-17 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-15 | 2019-05-17 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-15 | 2019-05-17 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2019-04-15 | 2019-05-17 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-15 | 2019-05-17 | N |