Deficiency Records for Serenity Spring Senior Living at Arlington
Updated as of April 01, 2020
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 | 2019-01-04 | 2019-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-04 | 2019-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-04 | 2019-03-01 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-01-04 | 2019-03-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-04 | 2019-03-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-04 | 2019-03-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-04 | 2019-03-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-04 | 2019-03-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-04 | 2019-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-04 | 2019-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-04 | 2019-03-01 | 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 | 2019-01-04 | 2019-03-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-01-16 | 2019-03-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-16 | 2019-03-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-06 | 2018-09-28 | Y |
| 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 |
| 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 |
| 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 |
| 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 |
