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Deficiency Records for Aspire at Englewood
A list of the most recent deficiencies for Aspire at Englewood. 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 Englewood. 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? |
|---|---|---|---|---|
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2023-10-12 | 2023-11-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-06 | 2023-02-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-06 | 2023-02-06 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-01-06 | 2023-02-06 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-04 | 2023-02-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-04 | 2023-02-06 | N |
| Respond appropriately to all alleged violations. | Health | 2021-10-27 | 2022-01-25 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-03-24 | 2021-04-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-24 | 2021-04-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-24 | 2021-04-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-03-24 | 2021-04-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-08 | 2019-10-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-08 | 2019-10-24 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-08 | 2019-09-06 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-08 | 2019-09-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-08 | 2019-09-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-08 | 2019-09-06 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-08-08 | 2019-09-06 | 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 | 2019-08-08 | 2019-09-06 | 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 | 2019-08-08 | 2019-09-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-08-08 | 2019-09-06 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-08-08 | 2019-09-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-08-06 | 2019-09-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-08-06 | 2019-09-06 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-08-06 | 2019-09-06 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-08-06 | 2019-09-06 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-08-06 | 2019-09-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-08-06 | 2019-09-06 | 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 | 2019-08-06 | 2019-09-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-06 | 2019-09-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-06 | 2019-09-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-06 | 2019-09-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-06 | 2019-09-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-06 | 2019-09-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-06 | 2019-09-06 | N |
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