A list of the most recent deficiencies for Arbol Residences of Santa Rosa. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-19 | 2024-03-04 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-08 | 2023-12-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-08 | 2023-12-04 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-11-08 | 2023-12-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-08 | 2023-12-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-08 | 2023-12-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-11-08 | 2023-12-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-08 | 2023-12-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-08 | 2023-12-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-27 | 2023-11-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-27 | 2023-11-27 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-10-27 | 2023-11-27 | 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 | 2023-10-27 | 2023-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-27 | 2023-11-27 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-10-27 | 2023-11-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-27 | 2023-11-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-11 | 2023-02-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-11 | 2023-02-14 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-12-06 | 2022-01-20 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-12-06 | 2022-01-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-06 | 2022-01-20 | N |
| 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 | 2021-12-06 | 2022-01-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-06 | 2022-01-20 | 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 | 2021-12-06 | 2022-01-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-06 | 2022-01-20 | 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 | 2021-12-06 | 2022-01-20 | 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 | 2021-12-06 | 2022-01-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-06 | 2022-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-06 | 2022-01-20 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-06 | 2021-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-06 | 2021-12-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-06 | 2021-12-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-06 | 2021-12-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-06 | 2021-12-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-12-06 | 2021-12-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-06 | 2021-12-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-08-08 | 2019-09-05 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-08-08 | 2019-09-05 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-08-08 | 2019-09-05 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-08-08 | 2019-09-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-08-08 | 2019-09-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-08 | 2019-09-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-08-08 | 2019-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-08 | 2019-09-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-08 | 2019-09-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-08 | 2019-09-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-08 | 2019-09-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-08 | 2019-09-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-15 | 2019-09-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-15 | 2019-09-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-15 | 2019-09-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-15 | 2019-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-15 | 2019-09-04 | 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 | 2019-07-15 | 2019-09-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-15 | 2019-09-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-07-15 | 2019-09-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-15 | 2019-09-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-15 | 2019-09-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-15 | 2019-09-04 | 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 | 2019-07-15 | 2019-09-04 | 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 | 2019-07-15 | 2019-09-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-15 | 2019-09-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-15 | 2019-09-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-07-15 | 2019-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-15 | 2019-09-04 | N |
