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 |
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 |