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Deficiency Records for Aspire On Evans
A list of the most recent deficiencies for Aspire On Evans. 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 On Evans. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-22 | 2024-09-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-22 | 2024-09-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-22 | 2024-09-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-22 | 2024-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-22 | 2024-09-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-22 | 2024-09-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-22 | 2024-09-21 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-08-22 | 2024-09-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-21 | 2024-09-20 | 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 | 2024-08-21 | 2024-09-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-21 | 2024-09-20 | N |
| Provide activities to meet all resident's needs. | Health | 2024-08-21 | 2024-09-20 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-08-21 | 2024-09-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-21 | 2024-09-20 | N |
| Provide or obtain dental services for each resident. | Health | 2024-08-21 | 2024-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-21 | 2024-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-21 | 2024-09-20 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-08-21 | 2024-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-21 | 2024-09-20 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2024-05-30 | 2024-06-30 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-30 | 2024-06-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-02 | 2024-04-30 | 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 | 2023-07-18 | 2023-08-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-18 | 2023-08-18 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-18 | 2023-08-18 | Y |
| 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 | 2023-05-11 | 2023-05-31 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-05-11 | 2023-05-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-01 | 2023-05-31 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-10-24 | 2022-11-17 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-10-24 | 2022-11-17 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-10-24 | 2022-11-17 | 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 | 2022-10-24 | 2022-11-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-24 | 2022-11-17 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-10-24 | 2022-11-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-09 | 2021-04-12 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-03-10 | 2021-04-10 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-03-10 | 2021-04-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-03-10 | 2021-04-10 | 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 | 2021-03-10 | 2021-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-10 | 2021-04-10 | N |
| Provide activities to meet all resident's needs. | Health | 2021-03-10 | 2021-04-10 | 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 | 2021-03-10 | 2021-04-10 | 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 | 2021-03-10 | 2021-04-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-10 | 2021-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-10 | 2021-04-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-09 | 2021-04-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-09 | 2021-04-10 | N |
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