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Deficiency Records for Aspire at Brooksville
A list of the most recent deficiencies for Aspire at Brooksville. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Aspire at Brooksville. 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? |
|---|---|---|---|---|
| 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 | 2024-02-01 | 2024-03-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-01 | 2024-03-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-01 | 2024-03-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-01 | 2024-03-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-01 | 2024-03-07 | 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 | 2024-02-01 | 2024-03-07 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-02-01 | 2024-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-01 | 2024-03-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-02-01 | 2024-03-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-01-29 | 2024-03-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-01-29 | 2024-03-07 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-01-29 | 2024-03-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-01-29 | 2024-03-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-01-29 | 2024-03-07 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-01-29 | 2024-03-07 | N |
| Develop a communication plan. | Fire Safety | 2024-01-29 | 2024-03-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-01-29 | 2024-03-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-01-29 | 2024-03-07 | N |
| Establish methods for sharing information. | Fire Safety | 2024-01-29 | 2024-03-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-01-29 | 2024-03-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-29 | 2024-03-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-29 | 2024-03-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-29 | 2024-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-29 | 2024-03-07 | N |
| Meet other general requirements. | Fire Safety | 2023-10-13 | 2023-11-22 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-07-27 | 2023-09-05 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-07-27 | 2023-09-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-27 | 2023-09-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-27 | 2023-09-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-27 | 2023-09-05 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-27 | 2023-09-05 | 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 | 2023-05-24 | 2023-05-24 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-18 | 2022-10-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-18 | 2022-10-04 | 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 | 2022-08-18 | 2022-10-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-18 | 2022-10-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-18 | 2022-10-04 | 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 | 2022-08-18 | 2022-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-18 | 2022-10-04 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Develop a communication plan. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Establish methods for sharing information. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-08-16 | 2022-10-04 | N |
| 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 | 2021-10-08 | 2021-09-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-11 | 2021-04-08 | N |
| 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 | 2021-03-11 | 2021-04-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-11 | 2021-04-08 | 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 | 2021-03-11 | 2021-04-08 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-03-09 | 2021-04-08 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-03-09 | 2021-04-08 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-03-09 | 2021-04-08 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-03-09 | 2021-04-08 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-03-09 | 2021-04-08 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-03-09 | 2021-04-08 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-03-09 | 2021-04-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-03-09 | 2021-04-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-03-09 | 2021-04-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-03-09 | 2021-04-08 | N |
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