A list of the most recent deficiencies for Arvin Post Acute. 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 and implement an infection prevention and control program. | Health | 2024-02-06 | 2024-02-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-31 | 2024-02-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-31 | 2024-02-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-08 | 2024-02-10 | Y |
| 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 | 2023-07-27 | 2023-08-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-31 | 2023-06-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-08 | 2023-06-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-08 | 2023-06-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-17 | 2023-02-02 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-17 | 2023-02-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-04 | 2023-01-16 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-29 | 2023-01-16 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-07-05 | 2022-07-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-31 | 2022-02-24 | 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 | 2022-01-05 | 2022-01-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-05 | 2022-01-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-05 | 2022-01-24 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-12-16 | 2022-01-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-06 | 2021-11-22 | Y |
| 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 | 2021-06-24 | 2021-10-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-24 | 2021-10-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-24 | 2021-10-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-06-24 | 2021-08-11 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-06-24 | 2021-08-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-24 | 2021-08-11 | 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 | 2021-06-24 | 2021-08-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-24 | 2021-08-11 | 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 | 2021-06-24 | 2021-08-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-24 | 2021-08-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-24 | 2021-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-24 | 2021-08-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-01 | 2021-07-26 | 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 | 2021-07-01 | 2021-07-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-01 | 2021-07-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-01 | 2021-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-01 | 2021-07-26 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-06-28 | 2021-07-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-28 | 2021-07-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-11 | 2021-05-27 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-08-22 | 2019-10-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-22 | 2019-10-09 | 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 | 2019-08-22 | 2019-10-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-22 | 2019-10-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-08-22 | 2019-10-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-22 | 2019-10-09 | 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 | 2019-07-25 | 2019-08-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-25 | 2019-08-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-25 | 2019-08-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-25 | 2019-08-26 | 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 | 2019-07-25 | 2019-08-26 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-07-25 | 2019-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-25 | 2019-08-26 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-07-25 | 2019-08-26 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-07-31 | 2018-08-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-07-31 | 2018-08-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-31 | 2018-08-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-31 | 2018-08-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-31 | 2018-08-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-31 | 2018-08-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-07-31 | 2018-08-17 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-06-21 | 2018-07-18 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-06-21 | 2018-07-18 | 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 | 2018-06-21 | 2018-07-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-21 | 2018-07-18 | 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 | 2018-06-21 | 2018-07-18 | 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 | 2018-06-21 | 2018-07-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-21 | 2018-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-21 | 2018-07-18 | N |
