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Deficiency Records for Aspire at Fletcher
A list of the most recent deficiencies for Aspire at Fletcher. 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 Fletcher. 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 and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-07-11 | 2024-08-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-11 | 2024-08-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-11 | 2024-08-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-11 | 2024-08-11 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-07-11 | 2024-08-11 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-07-11 | 2024-08-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-11 | 2024-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-11 | 2024-08-11 | N |
| Have policies on smoking. | Health | 2024-07-11 | 2024-08-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-09 | 2024-08-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-30 | 2023-11-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-19 | 2023-07-19 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-06-19 | 2023-07-19 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-03-23 | 2023-04-19 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-10-20 | 2022-11-18 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-10-20 | 2022-11-18 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-10-20 | 2022-11-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-20 | 2022-11-18 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-10-20 | 2022-11-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-20 | 2022-11-18 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-10-20 | 2022-11-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-13 | 2022-07-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-21 | 2022-05-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-21 | 2022-05-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-21 | 2022-05-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-21 | 2022-05-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-21 | 2022-05-21 | 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 | 2022-04-21 | 2022-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-21 | 2022-05-21 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-04-21 | 2022-05-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-21 | 2022-05-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-21 | 2022-05-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-21 | 2022-05-21 | Y |
| 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 | 2021-02-26 | 2021-04-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-26 | 2021-04-01 | 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 | 2021-02-26 | 2021-04-01 | N |
| Meet other general requirements. | Fire Safety | 2021-02-25 | 2021-03-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-25 | 2021-03-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-25 | 2021-03-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-02-25 | 2021-03-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-02-25 | 2021-03-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-25 | 2021-03-26 | N |
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