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Deficiency Records for Aspire at Seminole
A list of the most recent deficiencies for Aspire at Seminole. 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 Seminole. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-23 | 2024-06-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-23 | 2024-06-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-23 | 2024-06-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-23 | 2024-06-23 | 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 | 2024-05-23 | 2024-06-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-05-23 | 2024-06-23 | 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 | 2024-05-23 | 2024-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-06-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-23 | 2024-06-23 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-23 | 2024-06-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-22 | 2024-06-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-05-22 | 2024-06-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-22 | 2024-06-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-22 | 2024-06-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-22 | 2024-06-23 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-05-22 | 2024-06-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-22 | 2024-06-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-14 | 2022-03-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-01-14 | 2022-03-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-14 | 2022-02-14 | 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 | 2022-01-14 | 2022-02-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-14 | 2022-02-14 | 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 | 2022-01-14 | 2022-02-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-14 | 2022-02-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-14 | 2022-02-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-14 | 2022-02-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-14 | 2022-02-14 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-13 | 2022-02-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-13 | 2022-02-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-10-30 | 2020-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-30 | 2020-11-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
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