Deficiency Records for Arlington Villas Rehabilitation and Healthcare Cen
Updated as of November 01, 2023
This is not the most recent data for Arlington Villas Rehabilitation and Healthcare Cen. For the most recent information, click here.
A list of the most recent deficiencies for Arlington Villas Rehabilitation and Healthcare Cen. 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? |
|---|---|---|---|---|
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-05-22 | 2023-08-11 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-05-22 | 2023-08-11 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-22 | 2023-08-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-14 | 2023-06-28 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-14 | 2023-06-28 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-14 | 2023-06-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-26 | 2023-06-27 | Y |
| 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 | 2023-06-26 | 2023-06-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-26 | 2023-06-27 | 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 | 2023-05-18 | 2023-06-18 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-22 | 2023-06-18 | 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 | 2023-03-22 | 2023-03-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-22 | 2023-03-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-15 | 2023-03-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-15 | 2023-03-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-15 | 2023-03-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-15 | 2023-03-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-15 | 2022-10-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-15 | 2022-10-19 | 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 | 2022-10-19 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-09-15 | 2022-10-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-07-29 | 2022-08-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-29 | 2022-08-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-29 | 2022-08-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-29 | 2022-08-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-11 | 2022-03-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-11 | 2022-03-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-23 | 2021-09-20 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-06-16 | 2021-09-18 | Y |
| 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 | 2021-06-16 | 2021-09-18 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-16 | 2021-09-18 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2021-07-06 | 2021-08-20 | 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 | 2021-07-06 | 2021-08-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-07-06 | 2021-08-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-06 | 2021-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-06 | 2021-08-20 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2021-07-06 | 2021-08-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-06 | 2021-08-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-06 | 2021-08-20 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2021-07-06 | 2021-08-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-06 | 2021-08-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-09 | 2021-08-09 | N |
| 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 | 2021-07-09 | 2021-08-09 | 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 | 2021-07-09 | 2021-08-09 | 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 | 2021-07-09 | 2021-08-09 | N |
| Dispose of garbage and refuse properly. | Health | 2021-07-09 | 2021-08-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-09 | 2021-08-09 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-07-09 | 2021-08-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-09 | 2021-08-09 | 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 | 2021-07-09 | 2021-08-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-09 | 2021-08-09 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-16 | 2021-07-31 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-10 | 2021-07-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-10 | 2021-07-10 | Y |
| 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 | 2021-06-10 | 2021-07-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-10 | 2021-07-10 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-06-10 | 2021-07-10 | Y |
| 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 | 2021-06-10 | 2021-07-10 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-16 | 2021-07-10 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-06-16 | 2021-06-23 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-06-16 | 2021-06-23 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-12 | 2021-06-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-12 | 2021-06-04 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-09-17 | 2019-10-18 | 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 | 2019-09-17 | 2019-10-18 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-09-17 | 2019-10-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-17 | 2019-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-17 | 2019-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-17 | 2019-10-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-12 | 2019-09-20 | 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 | 2023-05-08 | Not Fixed | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-08 | Not Fixed | Y |
