Deficiency Records for Serenity Spring Senior Living at Arlington
Updated as of September 01, 2018
This is not the most recent data for Serenity Spring Senior Living at Arlington. For the most recent information, click here.
A list of the most recent deficiencies for Serenity Spring Senior Living at Arlington. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-12-18 | 2018-03-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-18 | 2018-02-22 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-01-22 | 2018-02-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-22 | 2018-02-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-12-20 | 2018-02-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-20 | 2018-02-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-20 | 2018-02-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-20 | 2018-02-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-20 | 2018-02-22 | 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 | 2017-12-20 | 2018-02-22 | N |
| Post nurse staffing information every day. | Health | 2017-12-20 | 2018-02-22 | 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 ne | Health | 2017-12-20 | 2018-02-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-20 | 2018-02-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-20 | 2018-02-22 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-10-11 | 2016-11-28 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-10-11 | 2016-11-28 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-10-11 | 2016-11-28 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-10-11 | 2016-11-28 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-10-11 | 2016-11-28 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-10-11 | 2016-11-28 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-10-13 | 2016-11-28 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-10-13 | 2016-11-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-13 | 2016-11-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-10-13 | 2016-11-28 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-10-13 | 2016-11-03 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-08-12 | 2015-09-29 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-08-12 | 2015-09-29 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-08-12 | 2015-09-29 | N |
| A written emergency evacuation plan. | Fire Safety | 2015-08-12 | 2015-09-29 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-08-12 | 2015-09-29 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-08-12 | 2015-09-29 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-08-12 | 2015-09-29 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-08-12 | 2015-09-29 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2015-08-12 | 2015-09-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-08-13 | 2015-09-29 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2015-08-13 | 2015-09-29 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-08-13 | 2015-09-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-08-13 | 2015-09-29 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-08-13 | 2015-09-29 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-08-13 | 2015-09-29 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-08-13 | 2015-09-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-13 | 2015-09-29 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-08-13 | 2015-09-29 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-08-13 | 2015-09-05 | N |
