Deficiency Records for Arbor Rehabilitation and Nursing Center
Updated as of March 01, 2022
This is not the most recent data for Arbor Rehabilitation and Nursing Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-01-08 | 2021-02-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-01-08 | 2021-02-16 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-12-10 | 2021-01-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-11-10 | 2020-12-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-09-04 | 2020-10-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-03-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-27 | 2020-03-09 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-04 | 2020-02-18 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-12-12 | 2020-01-06 | Y |
| Provide activities to meet all resident's needs. | Health | 2019-10-21 | 2019-11-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-08 | 2019-07-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-28 | 2019-07-16 | Y |
| 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 | 2019-06-28 | 2019-07-16 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-06-28 | 2019-07-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-14 | 2019-06-25 | 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 |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-03-26 | 2019-04-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-26 | 2019-04-16 | Y |
| 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 |
| Provide housekeeping and maintenance services. | Health | 2017-03-02 | 2017-04-20 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-03-02 | 2017-04-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-02 | 2017-04-20 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-03-02 | 2017-04-20 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-03-02 | 2017-04-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-02 | 2017-04-20 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-03-02 | 2017-04-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-02 | 2017-04-20 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-03-02 | 2017-04-20 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2017-03-02 | 2017-04-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-08 | 2017-04-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-03-08 | 2017-04-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-03-08 | 2017-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-08 | 2017-04-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-08 | 2017-04-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-03-08 | 2017-04-14 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-03-08 | 2017-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-03-08 | 2017-04-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-03-08 | 2017-04-14 | N |
