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Deficiency Records for Asbury Towers Health Care Center
A list of the most recent deficiencies for Asbury Towers Health Care Center. 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 Asbury Towers Health Care Center. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2024-03-04 | 2024-05-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-03-04 | 2024-05-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-04 | 2024-05-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-04 | 2024-04-20 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-03-04 | 2024-04-20 | N |
| Develop a communication plan. | Fire Safety | 2024-03-04 | 2024-04-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-03-04 | 2024-04-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-04 | 2024-04-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-04 | 2024-04-20 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-03-04 | 2024-04-20 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-03-04 | 2024-04-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-04 | 2024-04-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-04 | 2024-04-20 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-03-04 | 2024-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-04 | 2024-04-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-03-04 | 2024-04-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-04 | 2024-04-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-03-04 | 2024-04-20 | 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 | 2024-02-09 | 2024-03-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-09 | 2024-03-22 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-02-09 | 2024-03-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-09 | 2024-03-22 | 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 | 2024-02-09 | 2024-03-22 | 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 | 2024-02-09 | 2024-03-22 | N |
| Provide or obtain dental services for each resident. | Health | 2024-02-09 | 2024-03-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-04 | 2024-03-22 | 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 | 2024-03-04 | 2024-03-21 | N |
| Have an externally vented heating system. | Fire Safety | 2024-03-04 | 2024-03-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-04 | 2024-03-18 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-03-04 | 2024-03-06 | N |
| Meet other general requirements. | Fire Safety | 2024-03-04 | 2024-03-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-03-04 | 2024-03-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-04 | 2024-03-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-04 | 2024-03-05 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-03-04 | 2024-03-04 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-12-13 | 2023-02-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-13 | 2023-02-27 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-12-13 | 2023-01-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-13 | 2023-01-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-13 | 2023-01-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-13 | 2023-01-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-12-13 | 2023-01-06 | N |
| Develop a communication plan. | Fire Safety | 2022-12-13 | 2023-01-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-12-13 | 2023-01-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-13 | 2023-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-13 | 2023-01-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-13 | 2023-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-22 | 2022-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-22 | 2022-12-31 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-11-22 | 2022-12-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-15 | 2021-08-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-14 | 2021-07-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-06-14 | 2021-07-14 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-06-14 | 2021-07-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-14 | 2021-07-14 | 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 | 2021-06-14 | 2021-07-14 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-06-14 | 2021-07-14 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-06-14 | 2021-07-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-06-14 | 2021-07-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-14 | 2021-07-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-14 | 2021-07-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-14 | 2021-07-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-14 | 2021-07-14 | 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 | 2021-06-14 | 2021-07-14 | N |
| Post nurse staffing information every day. | Health | 2021-06-14 | 2021-07-14 | 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 | 2021-06-14 | 2021-07-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-14 | 2021-07-14 | 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 | 2021-06-14 | 2021-07-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-14 | 2021-07-14 | 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 | 2021-06-14 | 2021-07-14 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-06-14 | 2021-07-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-06-14 | 2021-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-14 | 2021-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-15 | 2021-07-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-15 | 2021-07-12 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-06-15 | 2021-07-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-15 | 2021-07-08 | N |
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