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Deficiency Records for Aspire at Shoal Creek

A list of the most recent deficiencies for Aspire at Shoal Creek. 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 Shoal Creek. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-08-29 2024-09-13 N
Provide activities to meet all resident's needs. Health 2024-08-29 2024-09-13 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 2024-08-29 2024-09-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-05-15 2023-07-10 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-19 2023-06-23 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-05-19 2023-06-23 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-19 2023-06-23 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2023-05-19 2023-06-23 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-05-19 2023-06-23 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-05-19 2023-06-23 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-05-19 2023-06-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-19 2023-06-23 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-05-19 2023-06-23 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 2022-06-01 2022-07-01 Y
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2022-06-01 2022-07-01 Y
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Health 2022-02-24 2022-04-01 N
Ensure each resident receives an accurate assessment. Health 2022-02-24 2022-03-19 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-02-24 2022-03-19 N
Provide activities to meet all resident's needs. Health 2022-02-24 2022-03-19 N

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