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Deficiency Records for Ashford Place Health Campus
A list of the most recent deficiencies for Ashford Place Health Campus. 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 Ashford Place Health Campus. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-14 | 2024-09-06 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2024-05-13 | 2024-06-21 | 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 | 2024-05-01 | 2024-05-17 | 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 | 2024-05-01 | 2024-05-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-01 | 2024-05-17 | 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 | 2024-05-01 | 2024-05-17 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-05-01 | 2024-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-01 | 2024-05-17 | 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 | 2024-05-01 | 2024-05-17 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-03 | 2023-02-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-03 | 2023-02-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-03 | 2023-02-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-11 | 2023-02-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-11 | 2023-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-11 | 2023-02-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-11 | 2023-02-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-11 | 2023-02-08 | 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 | 2023-01-11 | 2023-02-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-11 | 2023-02-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-11 | 2023-02-08 | N |
| Provide or obtain dental services for each resident. | Health | 2023-01-11 | 2023-02-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-11 | 2023-02-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-11 | 2023-02-08 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-11 | 2023-02-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-23 | 2022-04-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-03-12 | 2020-05-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-12 | 2020-05-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-12 | 2020-05-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-12 | 2020-05-22 | 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 | 2020-01-28 | 2020-02-20 | 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 | 2020-01-28 | 2020-02-20 | N |
| Provide activities to meet all resident's needs. | Health | 2020-01-28 | 2020-02-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-28 | 2020-02-20 | 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 | 2020-01-28 | 2020-02-20 | N |
| Provide or obtain dental services for each resident. | Health | 2020-01-28 | 2020-02-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-28 | 2020-02-20 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2020-01-28 | 2020-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-28 | 2020-02-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-28 | 2020-02-20 | N |
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