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Deficiency Records for Aspire at Greenacres
A list of the most recent deficiencies for Aspire at Greenacres. 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 Greenacres. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-16 | 2024-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-16 | 2024-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-28 | 2024-08-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-14 | 2024-04-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-14 | 2024-04-14 | N |
| Provide activities to meet all resident's needs. | Health | 2024-03-14 | 2024-04-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-14 | 2024-04-14 | N |
| 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 | 2024-03-14 | 2024-04-14 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-03-14 | 2024-04-14 | 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 | 2024-03-14 | 2024-04-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-14 | 2024-04-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-20 | 2024-04-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-20 | 2024-04-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-20 | 2024-04-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-13 | 2023-02-13 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-29 | 2023-02-13 | 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 | 2022-12-02 | 2023-01-02 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-12-02 | 2023-01-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-02 | 2023-01-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-02 | 2023-01-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-02 | 2023-01-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-02 | 2023-01-02 | 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 | 2022-12-02 | 2023-01-02 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-12-02 | 2023-01-02 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-29 | 2022-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-29 | 2022-12-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-29 | 2022-12-29 | N |
| 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 | 2022-02-10 | 2022-03-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-17 | 2021-10-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-09-17 | 2021-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-17 | 2021-10-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-09-17 | 2021-10-17 | N |
| Post nurse staffing information every day. | Health | 2021-09-17 | 2021-10-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-17 | 2021-10-17 | N |
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