A list of the most recent deficiencies for Regency Care of Arlington, LLC. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-10-07 | 2023-03-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-31 | 2022-09-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-31 | 2022-09-19 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-31 | 2022-09-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-08-31 | 2022-09-19 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-08-31 | 2022-09-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-14 | 2021-12-30 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-12-14 | 2021-12-30 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-02-22 | 2021-03-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-22 | 2021-03-11 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-02-22 | 2021-03-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-02-22 | 2021-03-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-02-22 | 2021-03-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-27 | 2020-03-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-27 | 2020-03-19 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-27 | 2020-03-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-27 | 2020-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-27 | 2020-03-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-27 | 2020-03-19 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-02-27 | 2020-03-19 | N |
| 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 | 2020-02-27 | 2020-03-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-03-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-27 | 2020-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-03-19 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-11-27 | 2019-01-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-27 | 2019-01-29 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-11-27 | 2019-01-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-27 | 2019-01-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-01 | 2018-12-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-01 | 2018-11-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-01 | 2018-11-30 | N |
| Respond appropriately to all alleged violations. | Health | 2018-11-01 | 2018-11-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-01 | 2018-11-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-11-01 | 2018-11-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-01 | 2018-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-01 | 2018-11-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-11-01 | 2018-11-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-01 | 2018-11-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-01 | 2018-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-01 | 2018-11-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-01 | 2018-11-30 | 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 | 2018-11-01 | 2018-11-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-01 | 2018-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-01 | 2018-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-01 | 2018-11-30 | N |
