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Deficiency Records for Arbors West
View the most recent health deficiencies and inspection results for Arbors West. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Arbors West. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2026-03-26 | 2026-04-15 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-03-27 | 2025-04-30 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2025-03-27 | 2025-04-30 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2025-03-27 | 2025-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-27 | 2025-04-30 | 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 | 2025-03-27 | 2025-04-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-03-27 | 2025-04-30 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-03-27 | 2025-04-30 | 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 | 2025-03-27 | 2025-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-27 | 2025-04-30 | 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 | 2025-03-27 | 2025-04-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-03-27 | 2025-04-30 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-03-27 | 2025-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-27 | 2025-04-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-27 | 2025-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-27 | 2025-04-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-03-27 | 2025-04-30 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2025-03-27 | 2025-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-27 | 2025-04-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-03-27 | 2025-04-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-03-27 | 2025-04-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-03-27 | 2025-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-27 | 2025-04-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-06 | 2024-12-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-10 | 2024-11-06 | 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 | 2024-10-10 | 2024-11-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-10 | 2024-11-06 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-10-10 | 2024-11-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-05 | 2023-12-19 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-04-12 | 2022-04-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-12 | 2022-04-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-12 | 2022-04-29 | 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 | 2022-04-12 | 2022-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-12 | 2022-04-29 | 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 | 2022-04-12 | 2022-04-29 | 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 | 2022-04-12 | 2022-04-29 | 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 | 2022-04-12 | 2022-04-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-12 | 2022-04-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-04-12 | 2022-04-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-12 | 2022-04-29 | 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 | 2022-04-12 | 2022-04-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-12 | 2022-04-29 | 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 | 2022-04-12 | 2022-04-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-27 | 2019-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-27 | 2019-07-26 | 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 | 2019-06-27 | 2019-07-26 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-06-27 | 2019-07-26 | 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 | 2019-06-27 | 2019-07-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-06-27 | 2019-07-26 | 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 | 2019-06-27 | 2019-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-27 | 2019-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-27 | 2019-07-26 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-06-27 | 2019-07-26 | N |