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Deficiency Records for Arbor Post Acute
View the most recent health deficiencies and inspection results for Arbor Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Arbor Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-02-04 | 2026-02-06 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2026-02-04 | 2026-02-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-14 | 2025-08-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-14 | 2025-08-02 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-07-14 | 2025-08-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-24 | 2025-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-12 | 2025-03-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-24 | 2025-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-24 | 2025-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-13 | 2025-03-18 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-03-13 | 2025-03-18 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-01-24 | 2025-02-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-24 | 2025-02-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-24 | 2025-02-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-24 | 2025-02-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-01-24 | 2025-02-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-24 | 2025-02-21 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-01-24 | 2025-02-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-01-24 | 2025-02-21 | 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 | 2025-01-24 | 2025-02-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-24 | 2025-02-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-24 | 2025-02-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-24 | 2025-02-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-24 | 2025-02-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-24 | 2025-02-21 | N |
| Have policies on smoking. | Health | 2025-01-24 | 2025-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-24 | 2025-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-24 | 2025-02-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-01-24 | 2025-02-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-01-24 | 2025-02-21 | 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 | 2025-01-24 | 2025-02-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-01-24 | 2025-02-14 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-01-24 | 2025-02-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-24 | 2025-02-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-01-24 | 2025-02-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-24 | 2025-02-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-24 | 2025-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-24 | 2025-02-14 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2025-01-24 | 2025-02-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-01-24 | 2025-02-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-24 | 2025-02-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-01-24 | 2025-02-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-01-24 | 2025-02-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-01-24 | 2025-02-06 | N |
| 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 | 2025-01-15 | 2025-01-28 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-11-21 | 2024-12-13 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-11-21 | 2024-12-13 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-11-21 | 2024-11-29 | 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 | 2024-08-27 | 2024-09-27 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-06-03 | 2024-06-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-03 | 2024-06-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-28 | 2024-06-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-09 | 2024-04-18 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Use approved construction type or materials. | Fire Safety | 2024-01-30 | 2024-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-30 | 2024-02-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-30 | 2024-02-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-30 | 2024-02-21 | 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 | 2024-01-30 | 2024-02-21 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-01-30 | 2024-02-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-01-30 | 2024-02-21 | N |
| Keep all essential equipment working safely. | Health | 2024-01-30 | 2024-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-30 | 2024-02-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-01-30 | 2024-02-21 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-01-30 | 2024-02-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-30 | 2024-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-30 | 2024-02-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-30 | 2024-02-21 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-01-30 | 2024-02-21 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-01-30 | 2024-02-21 | 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 | 2024-01-30 | 2024-02-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-01-30 | 2024-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-30 | 2024-02-21 | 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 | 2024-01-30 | 2024-02-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-01-30 | 2024-02-21 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-01-30 | 2024-02-21 | N |
| Provide activities to meet all resident's needs. | Health | 2024-01-30 | 2024-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-18 | 2024-02-20 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-01-18 | 2024-02-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-18 | 2024-02-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-18 | 2024-01-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-18 | 2024-01-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-18 | 2024-01-30 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-11-29 | 2023-12-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-28 | 2023-12-13 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-06 | 2023-10-20 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-10-06 | 2023-10-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-06 | 2023-10-20 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-10-06 | 2023-10-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-09 | 2023-10-09 | Y |
| Keep all essential equipment working safely. | Health | 2023-10-06 | 2023-10-06 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-10-06 | 2023-10-06 | 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 | 2023-10-06 | 2023-10-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-21 | 2023-10-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-21 | 2023-10-04 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-08-14 | 2023-09-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-14 | 2023-09-03 | 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 | 2023-08-14 | 2023-09-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-14 | 2023-09-03 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-17 | 2023-08-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-13 | 2023-07-28 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-13 | 2023-07-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-25 | 2023-07-06 | 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 | 2023-05-25 | 2023-07-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-23 | 2023-06-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-23 | 2023-06-12 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-09-15 | 2022-11-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-15 | 2022-11-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-15 | 2022-11-14 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-09-15 | 2022-11-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-15 | 2022-11-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-15 | 2022-11-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-09-15 | 2022-11-14 | N |
| Use approved construction type or materials. | Fire Safety | 2022-09-15 | 2022-11-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-09-15 | 2022-11-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-15 | 2022-11-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-09-15 | 2022-11-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-15 | 2022-11-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-15 | 2022-10-26 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-15 | 2022-10-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-15 | 2022-10-26 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-09-15 | 2022-10-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-10-26 | 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 | 2022-09-15 | 2022-10-26 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-09-15 | 2022-10-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-15 | 2022-10-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-15 | 2022-10-26 | 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 | 2022-09-15 | 2022-10-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-15 | 2022-10-26 | N |