ARBOR HILLS MEMORY CARE COMMUNITY

2025 · 15 cited

1. The facility failed to follow its internal policies regarding the prevention, detection, and reporting of abuse, neglect, or exploitation.

   Health VisitCited Apr 10, 2025Corrected —

2. The facility failed to immediately make an oral report of alleged ANE or send a written report of the investigation to HHSC when required.

   Health VisitCited Apr 10, 2025Corrected —

3. The facility failed to conduct required fire drills and document fire drills on the required form.

   Health VisitCited Apr 10, 2025Corrected —

4. The facility failed to conduct criminal history checks of employees and applicants.

   Health VisitCited Apr 10, 2025Corrected —

5. The facility failed to search the employee misconduct registry and nurse aide registry before hiring to determine if the individual is unemployable.

   Health VisitCited Apr 10, 2025Corrected —

6. The facility failed to search the NAR and EMR annually.

   Health VisitCited Apr 10, 2025Corrected —

7. The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.

   Health VisitCited Apr 10, 2025Corrected —

8. The facility failed to ensure each resident was free from abuse, neglect, and exploitation.

   Health VisitCited Apr 10, 2025Corrected —

9. The facility failed to have staff sign a statement indicating an employee may be criminally liable for the failure to report abuse, neglect, or exploitation.

   Health VisitCited Apr 10, 2025Corrected —

10. The facility failed to conduct and document a risk assessment for potential emergencies or disasters.

    Health VisitCited Apr 10, 2025Corrected —

11. The facility failed to document any reviews and updates made to the plan.

    Health VisitCited Apr 10, 2025Corrected —

12. The facility failed to ensure direct care staff completed 12 hours of annual in- service education regarding Alzheimer's disease.

    Health VisitCited Apr 10, 2025Corrected —

13. The facility failed to employ a qualified activity director for a minimum of 20 hours weekly.

    Health VisitCited Apr 10, 2025Corrected —

14. The facility failed to ensure the activity director or designee attended at least six hours of continuing education annually.

    Health VisitCited Apr 10, 2025Corrected —

15. The facility failed to establish and maintain an infection control policy and procedure designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection.

    Health VisitCited Apr 10, 2025Corrected —