Deficiency Records for Arbor Lake Nursing and Rehabilitation LLC
Updated as of April 01, 2024
A list of the most recent deficiencies for Arbor Lake Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-03 | 2024-01-04 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-01-03 | 2024-01-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-03 | 2024-01-04 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-09 | 2023-11-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-06 | 2023-05-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-06 | 2023-05-17 | 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 | 2023-04-06 | 2023-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-06 | 2023-05-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-06 | 2023-04-28 | 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 | 2023-04-05 | 2023-04-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-05 | 2023-04-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-25 | 2023-02-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-25 | 2023-02-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-17 | 2022-02-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-02-17 | 2022-02-24 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2022-02-17 | 2022-02-24 | N |
| Provide or obtain dental services for each resident. | Health | 2021-12-14 | 2022-01-14 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-22 | 2019-12-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-22 | 2019-12-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-22 | 2019-12-16 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-11-22 | 2019-12-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-21 | 2019-12-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-11-21 | 2019-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2019-12-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-22 | 2019-12-13 | N |
