Deficiency Records for Arbrook Plaza
Updated as of October 01, 2023
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? |
|---|---|---|---|---|
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-01-18 | 2023-02-01 | 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 | 2022-07-28 | 2022-09-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-28 | 2022-09-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-28 | 2022-09-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-28 | 2022-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-28 | 2022-08-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-28 | 2021-11-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-28 | 2021-11-15 | 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 | 2021-07-14 | 2021-07-15 | 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 | 2021-07-14 | 2021-07-15 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-13 | 2021-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-13 | 2021-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-13 | 2021-06-12 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-05-14 | 2021-06-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-21 | 2021-04-22 | 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 | 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 requirements for the installation and maintenance of electrical systems. | 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 |
