A list of the most recent deficiencies for Arbor Village. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-26 | 2023-03-31 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-01-26 | 2023-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-26 | 2023-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-23 | 2023-03-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-23 | 2023-03-31 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-02-23 | 2023-03-06 | 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 necessary and PRN use is limited. | Health | 2019-05-06 | 2019-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-06 | 2019-06-09 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-05-02 | 2019-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-02 | 2019-06-09 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-05-02 | 2019-06-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-02 | 2019-06-09 | N |
| Have an externally vented heating system. | Fire Safety | 2019-05-02 | 2019-06-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-02 | 2019-06-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-21 | 2018-05-23 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-03-21 | 2018-05-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-03-21 | 2018-05-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-03-21 | 2018-05-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-21 | 2018-05-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-03-21 | 2018-04-06 | N |
