A list of the most recent deficiencies for Arbor Terrace Healthcare 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 basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-12-01 | 2023-11-26 | 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 | 2023-09-29 | 2023-10-15 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-07-09 | 2023-07-26 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-09 | 2023-07-26 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-10-26 | 2022-11-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-26 | 2022-11-17 | 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 | 2022-10-26 | 2022-11-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-26 | 2022-11-17 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-10-26 | 2022-11-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-26 | 2022-11-17 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-10-26 | 2022-11-17 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-26 | 2022-11-17 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-09-01 | 2022-09-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-01 | 2022-09-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-19 | 2022-08-11 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-10-07 | 2021-11-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-07 | 2021-11-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-10-07 | 2021-11-10 | 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 | 2021-10-07 | 2021-11-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-07 | 2021-11-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-07 | 2021-11-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-07 | 2021-11-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-07 | 2021-11-10 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-10-07 | 2021-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-07 | 2021-11-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-08-19 | 2021-09-12 | 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 | 2021-08-19 | 2021-09-12 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-08-19 | 2021-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-19 | 2021-09-12 | 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 | 2021-08-19 | 2021-09-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-19 | 2021-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-19 | 2021-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-10 | 2021-04-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-10 | 2021-04-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-10 | 2021-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-10 | 2021-04-11 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-08-15 | 2019-09-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-15 | 2019-09-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-15 | 2019-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-15 | 2019-09-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-08-15 | 2019-09-15 | 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 | 2019-08-15 | 2019-09-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-15 | 2019-09-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-15 | 2019-09-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-15 | 2019-08-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-15 | 2019-08-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-15 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-15 | Not Fixed | N |
