A list of the most recent deficiencies for Arbors at Springfield. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-20 | 2024-01-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-20 | 2024-01-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-20 | 2024-01-16 | 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 | 2023-12-20 | 2024-01-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-20 | 2024-01-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-24 | 2023-09-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-24 | 2023-09-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-01 | 2023-06-14 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-09 | 2022-12-07 | 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 | 2022-11-09 | 2022-12-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-09 | 2022-12-07 | 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 | 2022-11-09 | 2022-12-07 | 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 | 2022-11-09 | 2022-12-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-09 | 2022-12-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-11-09 | 2022-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-09 | 2022-12-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-09 | 2022-12-07 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-07 | 2022-12-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-11-07 | 2022-12-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-11-07 | 2022-12-07 | 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 | 2022-11-07 | 2022-12-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-07 | 2022-12-07 | 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 | 2022-11-07 | 2022-12-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-07 | 2022-12-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-07 | 2022-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-07 | 2022-12-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-07 | 2022-12-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-07 | 2022-12-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-07 | 2022-12-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-07 | 2022-12-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-07 | 2022-12-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-07 | 2022-12-07 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-11-07 | 2022-12-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-07 | 2022-12-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-13 | 2021-12-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2021-12-14 | 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 | 2019-10-03 | 2019-11-01 | N |
| 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 | 2019-10-03 | 2019-11-01 | 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 | 2019-10-03 | 2019-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-03 | 2019-11-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-03 | 2019-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-03 | 2019-11-01 | 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 | 2019-10-03 | 2019-11-01 | 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 | 2019-10-03 | 2019-11-01 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-10-03 | 2019-11-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-10-03 | 2019-11-01 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-10-02 | 2019-11-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-02 | 2019-11-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-02 | 2019-11-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-02 | 2019-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-02 | 2019-11-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-02 | 2019-11-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-10-02 | 2019-11-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-09-06 | 2018-10-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-09-06 | 2018-10-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-09-06 | 2018-10-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-06 | 2018-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-06 | 2018-10-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-06 | 2018-10-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-06 | 2018-10-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-06 | 2018-10-12 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-09-06 | 2018-10-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-06 | 2018-10-12 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2018-09-06 | 2018-10-12 | N |
