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Deficiency Records for Arbors at Pomeroy
View the most recent health deficiencies and inspection results for Arbors at Pomeroy. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Arbors at Pomeroy. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2025-08-12 | 2025-09-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-03 | 2025-07-04 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-02-06 | 2025-02-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-06 | 2025-02-25 | N |
| Provide appropriate foot care. | Health | 2025-02-06 | 2025-02-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-06 | 2025-02-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-06 | 2025-02-25 | 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 | 2025-02-06 | 2025-02-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-02-06 | 2025-02-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-02-06 | 2025-02-25 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2025-02-06 | 2025-02-25 | 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 | 2025-02-06 | 2025-02-25 | 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 | 2023-12-04 | 2024-02-06 | 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 | 2023-12-04 | 2024-02-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-04 | 2024-02-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-04 | 2024-02-06 | 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 | 2023-12-04 | 2024-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-04 | 2024-02-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-04 | 2024-02-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-04 | 2024-02-06 | 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 | 2023-12-04 | 2024-02-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-12-04 | 2024-02-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-04 | 2024-02-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-04 | 2024-02-06 | 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 | 2023-10-16 | 2023-10-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-16 | 2023-10-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-16 | 2023-10-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-17 | 2023-07-06 | Y |
| 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 | 2022-04-13 | 2022-05-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-04-13 | 2022-05-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-13 | 2022-05-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-13 | 2022-05-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-13 | 2022-05-10 | 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 | 2022-04-13 | 2022-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-13 | 2022-05-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-13 | 2022-05-10 | 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 | 2022-04-13 | 2022-05-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-13 | 2022-05-10 | 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 | 2022-04-13 | 2022-05-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-13 | 2022-05-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-13 | 2022-05-10 | 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 | 2022-04-13 | 2022-05-10 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-04-13 | 2022-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-13 | 2022-05-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-13 | 2022-05-10 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-04-13 | 2022-05-10 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-04-13 | 2022-05-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-13 | 2022-05-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-13 | 2022-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-13 | 2022-05-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-13 | 2022-05-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-13 | 2022-05-10 | 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 | 2022-04-13 | 2022-05-10 | 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 | 2022-04-13 | 2022-05-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-13 | 2022-05-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-04-13 | 2022-05-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-13 | 2022-05-10 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-04-13 | 2022-05-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-13 | 2022-05-10 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-13 | 2022-05-10 | 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 | 2022-04-13 | 2022-05-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-13 | 2022-05-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-13 | 2022-05-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-04-13 | 2022-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-13 | 2022-05-10 | N |