Deficiency Records for Arbor Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Arbor Rehabilitation and Nursing Center. 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? |
|---|---|---|---|---|
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-11-01 | 2023-11-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-01 | 2023-11-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-20 | 2023-10-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-18 | 2023-06-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-18 | 2023-06-30 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-05-18 | 2023-06-30 | 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 | 2023-05-18 | 2023-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-18 | 2023-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-18 | 2023-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-18 | 2023-06-30 | 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 | 2023-05-18 | 2023-06-30 | 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 | 2023-05-18 | 2023-06-30 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-05-18 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-06-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-18 | 2023-06-30 | N |
| Use approved construction type or materials. | Fire Safety | 2023-05-24 | 2023-06-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-24 | 2023-06-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-24 | 2023-06-19 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-05-24 | 2023-06-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-24 | 2023-06-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-24 | 2023-06-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-24 | 2023-06-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-24 | 2023-06-19 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-24 | 2023-06-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-24 | 2023-06-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-24 | 2023-06-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-24 | 2023-02-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-28 | 2022-12-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-04 | 2022-10-18 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2019-06-06 | 2019-06-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-06 | 2019-06-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-06-06 | 2019-06-24 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-06-06 | 2019-06-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-06 | 2019-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-06 | 2019-06-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-06 | 2019-06-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-05 | 2019-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-05 | 2019-05-16 | 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 | 2019-04-05 | 2019-05-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-05 | 2019-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-05 | 2019-05-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-05 | 2019-05-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-04-05 | 2019-05-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-05 | 2019-05-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-05 | 2019-05-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-23 | 2018-05-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-03-23 | 2018-05-02 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-03-23 | 2018-05-02 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-03-23 | 2018-05-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-23 | 2018-05-02 | N |
| Respond appropriately to all alleged violations. | Health | 2018-03-23 | 2018-05-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-23 | 2018-05-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-23 | 2018-05-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-23 | 2018-05-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-23 | 2018-05-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-03-23 | 2018-05-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-23 | 2018-05-02 | 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 | 2018-03-23 | 2018-05-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-03-23 | 2018-05-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-03-23 | 2018-05-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-03-23 | 2018-05-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-03-23 | 2018-05-02 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-03-23 | 2018-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-23 | 2018-05-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-23 | 2018-05-02 | N |
| Use approved construction type or materials. | Fire Safety | 2018-04-02 | 2018-04-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-02 | 2018-04-16 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-04-02 | 2018-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-02 | 2018-04-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-02 | 2018-04-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-02 | 2018-04-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-02 | 2018-04-16 | N |
