Deficiency Records for Arbrook Plaza
Updated as of July 01, 2020
This is not the most recent data for Arbrook Plaza. For the most recent information, click here.
A list of the most recent deficiencies for Arbrook Plaza. 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? |
---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-01-14 | 2020-02-19 | N |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2020-01-14 | 2020-02-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-14 | 2020-02-19 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-14 | 2020-02-19 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-14 | 2020-02-19 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-14 | 2020-02-19 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-14 | 2020-02-19 | N |
Meet other general requirements that are deficient. | Fire Safety | 2020-01-14 | 2020-02-19 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-01-14 | 2020-02-19 | 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 | 2020-01-16 | 2020-02-05 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-01-16 | 2020-01-20 | 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 | 2020-01-16 | 2020-01-20 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-01-16 | 2020-01-20 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-09 | 2020-01-10 | 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 | 2019-10-31 | 2019-11-01 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-31 | 2019-11-01 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-23 | 2019-04-24 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-21 | 2019-03-26 | 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 | 2019-02-21 | 2019-03-22 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-21 | 2019-03-22 | N |
Use approved construction type or materials. | Fire Safety | 2019-02-21 | 2019-03-15 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-21 | 2019-03-15 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-02-21 | 2019-03-15 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-21 | 2019-03-04 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-14 | 2019-02-28 | Y |
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 | 2019-02-14 | 2019-02-28 | Y |
Dispose of garbage and refuse properly. | Health | 2019-02-14 | 2019-02-28 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-14 | 2019-02-28 | 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 | 2019-02-14 | 2019-02-28 | Y |
Provide and implement an infection prevention and control program. | Health | 2019-02-14 | 2019-02-28 | Y |
Keep all essential equipment working safely. | Health | 2019-02-14 | 2019-02-28 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-06 | 2018-09-28 | 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 | 2018-09-06 | 2018-09-28 | Y |
Provide and implement an infection prevention and control program. | Health | 2018-09-06 | 2018-09-28 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2018-04-21 | 2018-05-25 | Y |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-01-25 | 2018-01-26 | N |
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2018-01-25 | 2018-01-25 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-25 | 2018-01-25 | N |