Deficiency Records for Arapaho Rehabilitation and Care Center
Updated as of April 01, 2021
This is not the most recent data for Arapaho Rehabilitation and Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Arapaho Rehabilitation and Care Center. 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 | 2020-09-27 | 2020-10-22 | 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 | 2019-12-13 | 2020-01-13 | 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 | 2019-12-13 | 2020-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-13 | 2020-01-13 | N |
| Dispose of garbage and refuse properly. | Health | 2019-12-13 | 2020-01-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-13 | 2020-01-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-13 | 2020-01-13 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-13 | 2020-01-13 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-12-13 | 2020-01-13 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-12-13 | 2020-01-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-13 | 2020-01-13 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-12-11 | 2020-01-07 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-12-11 | 2020-01-07 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-12-11 | 2020-01-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-11 | 2020-01-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-31 | 2019-11-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-10-31 | 2019-11-27 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-11-15 | 2018-12-21 | 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 | 2018-11-15 | 2018-12-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-15 | 2018-12-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-16 | 2018-12-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-11-16 | 2018-12-16 | 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 | 2018-11-16 | 2018-12-16 | N |
| 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 | 2018-11-16 | 2018-12-16 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-11-16 | 2018-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-16 | 2018-12-16 | N |
| Keep all essential equipment working safely. | Health | 2018-11-16 | 2018-12-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-05-23 | 2018-06-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-23 | 2018-06-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-23 | 2018-06-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-23 | 2018-06-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-23 | 2018-06-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-25 | 2017-11-18 | 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 | 2017-10-25 | 2017-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-10-25 | 2017-11-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-10-25 | 2017-11-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-10-25 | 2017-11-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-10-25 | 2017-11-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-25 | 2017-11-18 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-10-25 | 2017-11-17 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-10-25 | 2017-11-17 | N |
