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Deficiency Records for Aperion Care Hanover
A list of the most recent deficiencies for Aperion Care Hanover. 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 Aperion Care Hanover. 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 be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-07-18 | 2024-07-31 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-25 | 2024-05-10 | Y |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-25 | 2024-05-10 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-25 | 2024-05-10 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-04-25 | 2024-05-10 | Y |
Conduct testing and exercise requirements. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
Implement emergency and standby power systems. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
Meet other general requirements. | Fire Safety | 2024-01-30 | 2024-03-11 | 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 | 2024-01-30 | 2024-03-11 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-30 | 2024-03-11 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-01-10 | 2024-02-16 | N |
Respond appropriately to all alleged violations. | Health | 2024-01-10 | 2024-02-16 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-01-10 | 2024-02-16 | 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 | 2024-01-10 | 2024-02-16 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-10 | 2024-02-16 | 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 | 2024-01-10 | 2024-02-16 | N |
Post nurse staffing information every day. | Health | 2024-01-10 | 2024-02-16 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-10 | 2024-02-16 | 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 | 2024-01-10 | 2024-02-16 | 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 | 2024-01-10 | 2024-02-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-10 | 2024-02-16 | N |
Implement a program that monitors antibiotic use. | Health | 2024-01-10 | 2024-02-16 | N |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-01-10 | 2024-02-16 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-10 | 2024-02-16 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-11-20 | 2023-12-13 | Y |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-11-20 | 2023-12-13 | Y |
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2023-09-27 | 2023-12-13 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-27 | 2023-12-13 | Y |
Provide activities to meet all resident's needs. | Health | 2023-09-27 | 2023-12-13 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-27 | 2023-12-13 | 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 | 2023-09-27 | 2023-12-13 | Y |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-09-27 | 2023-12-13 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-27 | 2023-12-13 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-09-27 | 2023-12-13 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-27 | 2023-12-13 | Y |
Conduct testing and exercise requirements. | Fire Safety | 2023-03-08 | 2023-04-17 | N |
Implement emergency and standby power systems. | Fire Safety | 2023-03-08 | 2023-04-17 | 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 | 2023-03-08 | 2023-04-17 | N |
Install proper backup exit lighting. | Fire Safety | 2023-03-08 | 2023-04-17 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-03-08 | 2023-04-17 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-08 | 2023-04-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-08 | 2023-04-17 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-08 | 2023-04-17 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-08 | 2023-04-17 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-08 | 2023-04-17 | N |
Meet other general requirements that are deficient. | Fire Safety | 2023-03-08 | 2023-04-17 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-08 | 2023-04-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-08 | 2023-04-17 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2023-03-08 | 2023-04-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-08 | 2023-04-17 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-23 | 2023-04-10 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-02-27 | 2023-04-05 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-27 | 2023-04-05 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-02-27 | 2023-04-05 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-27 | 2023-04-05 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-27 | 2023-04-05 | 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 | 2023-02-27 | 2023-04-05 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-27 | 2023-04-05 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-27 | 2023-04-05 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-27 | 2023-04-05 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-27 | 2023-04-05 | 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 | 2023-02-27 | 2023-04-05 | 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 | 2023-02-27 | 2023-04-05 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-02-27 | 2023-04-05 | 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 | 2023-02-27 | 2023-04-05 | N |
Implement a program that monitors antibiotic use. | Health | 2023-02-27 | 2023-04-05 | 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 | 2023-02-27 | 2023-04-05 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-19 | 2023-02-10 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-30 | 2023-01-20 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-30 | 2023-01-20 | Y |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-11-30 | 2023-01-20 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-30 | 2023-01-20 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-09 | 2022-09-08 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-01 | 2022-07-01 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-06-01 | 2022-07-01 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2022-06-01 | 2022-07-01 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2022-06-01 | 2022-07-01 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2022-06-01 | 2022-07-01 | N |
Develop a communication plan. | Fire Safety | 2022-06-01 | 2022-07-01 | N |
Establish emergency prep training and testing. | Fire Safety | 2022-06-01 | 2022-07-01 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-06-01 | 2022-07-01 | N |
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-06-01 | 2022-07-01 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-01 | 2022-07-01 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-06-01 | 2022-07-01 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-01 | 2022-07-01 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-04 | 2022-06-04 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-04 | 2022-06-04 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-04 | 2022-06-04 | 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 | 2022-05-04 | 2022-06-04 | 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 | 2022-05-04 | 2022-06-04 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-04 | 2022-06-04 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-20 | 2022-05-20 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-05 | 2022-02-22 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-12-13 | 2022-01-12 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-23 | 2022-01-12 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-13 | 2021-10-29 | Y |
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