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Deficiency Records for Aspire at Kissimmee Gardens
A list of the most recent deficiencies for Aspire at Kissimmee Gardens. 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 Kissimmee Gardens. 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 | 2024-04-18 | 2024-05-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-04-18 | 2024-05-18 | 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 | 2024-04-18 | 2024-05-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-18 | 2024-05-18 | 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 | 2024-04-18 | 2024-05-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-18 | 2024-05-18 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-04-18 | 2024-05-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-18 | 2024-05-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-18 | 2024-05-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-18 | 2024-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-18 | 2024-05-18 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-04-18 | 2024-05-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-16 | 2024-05-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-26 | 2023-11-24 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-10-26 | 2023-11-24 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-10-26 | 2023-11-24 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-10-26 | 2023-11-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-25 | 2023-11-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-25 | 2023-11-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-07 | 2023-05-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-07 | 2023-05-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-07 | 2023-05-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-07 | 2023-05-07 | 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 | 2023-04-07 | 2023-05-07 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-04-07 | 2023-05-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-07 | 2023-05-07 | N |
| 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 | 2023-04-07 | 2023-05-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-07 | 2023-05-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-07 | 2023-05-07 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-07 | 2023-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-07 | 2023-05-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-04-04 | 2023-05-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-04 | 2023-05-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-08 | 2023-03-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-08 | 2023-03-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-11 | 2022-09-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-11 | 2022-09-09 | Y |
| 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 | 2021-11-10 | 2021-11-29 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-10-27 | 2021-11-29 | Y |
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