A list of the most recent deficiencies for Arlington Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-10 | 2024-03-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-12 | 2024-02-19 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-01-12 | 2024-02-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-12 | 2024-02-19 | 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 | 2024-01-12 | 2024-02-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-10 | 2024-02-10 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-01-10 | 2024-02-02 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-01-10 | 2024-02-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-10 | 2024-02-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-10 | 2024-02-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-10 | 2024-02-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-10 | 2024-02-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-10 | 2023-08-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-10 | 2023-08-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-10-26 | 2022-11-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-10-26 | 2022-11-30 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-10-26 | 2022-11-30 | 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 | 2022-10-26 | 2022-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-26 | 2022-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-26 | 2022-11-30 | N |
| Meet other general requirements. | Fire Safety | 2022-10-24 | 2022-11-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-24 | 2022-11-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-24 | 2022-11-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-10-24 | 2022-11-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-24 | 2022-11-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-24 | 2022-11-17 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-10-24 | 2022-11-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-24 | 2022-11-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-24 | 2022-11-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-14 | 2022-01-07 | Y |
| 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 | 2021-12-14 | 2022-01-07 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-12-14 | 2022-01-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-04 | 2021-11-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-08 | 2021-10-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-21 | 2021-06-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-21 | 2021-06-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-30 | 2021-05-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-21 | 2021-05-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-21 | 2021-05-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-28 | 2019-08-05 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-28 | 2019-08-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-28 | 2019-08-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-28 | 2019-08-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-28 | 2019-08-05 | 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 | 2019-06-28 | 2019-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-28 | 2019-08-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-28 | 2019-08-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-24 | 2019-07-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-24 | 2019-07-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-06-24 | 2019-07-24 | N |
