A list of the most recent deficiencies for Arrowhead Healthcare Center, LLC. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-01 | 2023-11-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-11-01 | 2023-11-27 | N |
| Use approved construction type or materials. | Fire Safety | 2023-11-01 | 2023-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-01 | 2023-11-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-01 | 2023-11-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-01 | 2023-11-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-01 | 2023-11-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-01 | 2023-11-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-01 | 2023-11-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-10-18 | 2023-11-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-02 | 2021-11-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-15 | 2021-09-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-07-15 | 2021-09-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-15 | 2021-09-15 | 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 | 2021-07-15 | 2021-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-09-15 | N |
| Dispose of garbage and refuse properly. | Health | 2021-07-15 | 2021-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-15 | 2021-09-15 | N |
| Use approved construction type or materials. | Fire Safety | 2021-08-19 | 2021-09-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-19 | 2021-09-13 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-08-19 | 2021-09-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-19 | 2021-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-19 | 2021-09-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-19 | 2021-09-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-19 | 2021-09-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-19 | 2021-09-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-19 | 2021-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-07 | 2021-08-18 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2019-06-13 | 2019-07-24 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-13 | 2019-07-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-06-13 | 2019-07-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-13 | 2019-07-24 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-06-13 | 2019-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-13 | 2019-07-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-13 | 2019-07-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-13 | 2019-07-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-13 | 2019-07-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-03 | 2019-05-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-03 | 2019-05-23 | 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 | 2019-05-03 | 2019-05-23 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-05-03 | 2019-05-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-03 | 2019-05-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-03 | 2019-05-23 | N |
