A list of the most recent deficiencies for Arbors at Woodsfield. 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? |
|---|---|---|---|---|
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-05-29 | 2022-06-23 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-05-29 | 2022-06-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-29 | 2022-06-23 | 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 | 2022-05-29 | 2022-06-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-29 | 2022-06-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-29 | 2022-06-23 | 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 | 2022-05-29 | 2022-06-23 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-05-29 | 2022-06-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-29 | 2022-06-23 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-29 | 2022-06-23 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-05-29 | 2022-06-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-29 | 2022-06-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-29 | 2022-06-23 | 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 | 2022-05-29 | 2022-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-29 | 2022-06-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-29 | 2022-06-23 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-05-29 | 2022-06-23 | 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 | 2022-05-29 | 2022-06-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-29 | 2022-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-29 | 2022-06-23 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-05-29 | 2022-06-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-05-23 | 2022-06-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-23 | 2022-06-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-23 | 2022-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-04 | 2021-10-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-05 | 2020-01-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-05 | 2020-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-05 | 2020-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-05 | 2020-01-10 | 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 | 2019-12-05 | 2020-01-10 | 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 | 2019-12-05 | 2020-01-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-05 | 2020-01-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-05 | 2020-01-10 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-12-05 | 2020-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2020-01-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-12-05 | 2020-01-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-05 | 2020-01-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-05 | 2020-01-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-05 | 2020-01-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-05 | 2020-01-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-05 | 2020-01-10 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-12-05 | 2020-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-05 | 2020-01-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-30 | 2018-11-27 | 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 | 2018-10-30 | 2018-11-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-30 | 2018-11-27 | 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 | 2018-10-30 | 2018-11-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-30 | 2018-11-27 | 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 | 2018-10-30 | 2018-11-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-30 | 2018-11-27 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-30 | 2018-11-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-10-30 | 2018-11-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-30 | 2018-11-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-30 | 2018-11-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-30 | 2018-11-27 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-10-30 | 2018-11-27 | N |
| Provide or obtain dental services for each resident. | Health | 2018-10-30 | 2018-11-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-10-30 | 2018-11-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-30 | 2018-11-27 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-10-30 | 2018-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-30 | 2018-11-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-30 | 2018-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-30 | 2018-11-27 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2018-10-30 | 2018-11-27 | 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 | 2018-10-23 | 2018-11-27 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2018-10-23 | 2018-11-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-23 | 2018-11-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-23 | 2018-11-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-23 | 2018-11-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-23 | 2018-11-27 | N |
