Deficiency Records for Arbors at Mifflin

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Updated as of March 01, 2024

A list of the most recent deficiencies for Arbors at Mifflin. 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 basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2023-12-18 2023-12-04 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-05-09 2023-05-23 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-09 2023-05-23 Y
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 2023-05-09 2023-05-23 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-03-30 2023-04-14 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-30 2023-04-14 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-03-30 2023-04-14 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-03-30 2023-04-14 N
Provide and implement an infection prevention and control program. Health 2023-03-30 2023-04-14 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-03-30 2023-04-14 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-03-29 2023-04-14 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-03-29 2023-04-14 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-03-29 2023-04-14 N
Install an approved automatic sprinkler system. Fire Safety 2023-03-29 2023-04-14 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-03-29 2023-04-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-03-29 2023-04-14 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-03-29 2023-04-14 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-03-29 2023-04-14 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-03-29 2023-04-14 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2023-03-29 2023-04-14 N
Have proper medical gas storage and administration areas. Fire Safety 2023-03-29 2023-04-14 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-02-14 2023-03-03 Y
Ensure that residents are free from significant medication errors. Health 2023-02-14 2023-03-03 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-01-18 2023-03-03 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-01-18 2023-03-03 Y
Ensure that residents are free from significant medication errors. Health 2023-01-18 2023-03-03 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-08-20 2021-09-10 Y
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 2021-08-20 2021-09-10 Y
Provide and implement an infection prevention and control program. Health 2021-05-04 2021-05-21 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-03-05 2021-03-08 Y
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2020-01-09 2020-02-07 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 2020-01-09 2020-02-07 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 2020-01-09 2020-02-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2020-01-09 2020-02-07 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 2020-01-09 2020-02-07 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2020-01-09 2020-02-07 N
Establish policies and procedures for volunteers. Fire Safety 2020-01-07 2020-02-07 N
Use approved construction type or materials. Fire Safety 2020-01-07 2020-02-07 N
Have exits that are accessible at all times. Fire Safety 2020-01-07 2020-02-07 N
Have properly located and lighted "Exit" signs. Fire Safety 2020-01-07 2020-02-07 N
Provide properly protected cooking facilities. Fire Safety 2020-01-07 2020-02-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-01-07 2020-02-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-01-07 2020-02-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-01-07 2020-02-07 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2020-01-07 2020-02-07 N
Have power receptacles that are properly grounded. Fire Safety 2020-01-07 2020-02-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-01-07 2020-02-07 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 2018-11-15 2018-12-20 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 2018-11-15 2018-12-20 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 2018-11-15 2018-12-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-11-15 2018-12-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2018-11-15 2018-12-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-11-15 2018-12-20 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-11-15 2018-12-20 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2018-11-15 2018-12-20 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-11-14 2018-12-20 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2018-11-14 2018-12-20 N