Deficiency Records for Arbor Hills Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Arbor Hills Rehabilitation and 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-13 | 2023-04-14 | 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 | 2022-03-10 | 2022-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-10 | 2022-03-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-08 | 2022-03-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-10 | 2022-01-10 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-01-10 | 2022-01-10 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-12-17 | 2021-01-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-12-17 | 2020-12-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-12-17 | 2020-12-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-12-17 | 2020-12-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-12-17 | 2020-12-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-12-17 | 2020-12-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-12-17 | 2020-12-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-12-17 | 2020-12-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-12-17 | 2020-12-18 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2020-12-17 | 2020-12-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-12-17 | 2020-12-18 | N |
