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Deficiency Records for Aspire at The Gardens - Tallahassee
A list of the most recent deficiencies for Aspire at The Gardens - Tallahassee. 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 The Gardens - Tallahassee. 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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-08-15 | 2024-09-06 | 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 | 2024-02-29 | 2024-03-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-29 | 2024-03-28 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-16 | 2023-12-16 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-11-16 | 2023-12-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-16 | 2023-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-16 | 2023-12-16 | 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 | 2023-11-16 | 2023-12-16 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-17 | 2023-08-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-04 | 2022-09-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-04 | 2022-09-09 | Y |
| 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 | 2022-08-04 | 2022-09-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-04 | 2022-09-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-04 | 2022-09-09 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-04 | 2022-09-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-30 | 2022-08-05 | 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 | 2022-06-30 | 2022-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-30 | 2022-08-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-08-05 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2022-06-30 | 2022-08-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-30 | 2022-08-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-30 | 2022-08-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-06-30 | 2022-08-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-06-30 | 2022-08-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-06-30 | 2022-08-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-30 | 2022-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-30 | 2022-08-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-30 | 2022-08-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-30 | 2022-08-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-30 | 2022-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-30 | 2022-08-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-06-30 | 2022-08-05 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-04-06 | 2022-05-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-30 | 2021-12-30 | 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 | 2021-04-30 | 2021-05-25 | 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 | 2021-04-30 | 2021-05-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-30 | 2021-05-25 | N |
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