CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Aspire of Gowrie
A list of the most recent deficiencies for Aspire of Gowrie. 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 of Gowrie. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-06 | 2024-09-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-09 | 2024-08-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-09 | 2024-08-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-03 | 2024-08-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-03 | 2024-08-02 | 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 | 2024-07-03 | 2024-08-02 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-07-03 | 2024-08-02 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-07-03 | 2024-08-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-07-09 | 2024-08-02 | 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 | 2024-07-09 | 2024-08-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-09 | 2024-08-02 | 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 | 2024-07-09 | 2024-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-09 | 2024-08-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-09 | 2024-07-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-06 | 2024-03-12 | 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 | 2024-02-06 | 2024-03-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-06 | 2024-03-12 | 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 | 2024-02-06 | 2024-03-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-06 | 2024-03-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-06 | 2024-03-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-06 | 2024-03-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-06 | 2024-03-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-06 | 2024-03-12 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-02-06 | 2024-03-12 | 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 | 2024-02-06 | 2024-03-12 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-02-06 | 2024-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-06 | 2024-03-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-06 | 2024-03-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-06 | 2024-03-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-06 | 2024-03-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-06 | 2024-03-12 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-02-06 | 2024-03-12 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-06 | 2024-02-27 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-02-06 | 2024-02-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-02-06 | 2024-02-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-06 | 2024-02-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-06 | 2024-02-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-06 | 2024-02-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-06 | 2024-02-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-06 | 2024-02-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-02-06 | 2024-02-06 | 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 | 2023-12-04 | 2023-12-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-04 | 2023-12-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-04 | 2023-12-29 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-12-04 | 2023-12-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-04 | 2023-12-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-04 | 2023-12-29 | Y |
| 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 | 2023-08-29 | 2023-11-15 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-08-29 | 2023-11-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-29 | 2023-11-03 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-29 | 2023-11-03 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-08-29 | 2023-11-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-29 | 2023-11-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-29 | 2023-11-03 | Y |
| 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 | 2023-08-29 | 2023-11-03 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-08-29 | 2023-11-03 | Y |
| 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 | 2023-08-29 | 2023-11-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-29 | 2023-11-03 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-29 | 2023-11-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-19 | 2023-06-20 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-04-13 | 2023-05-10 | N |
| 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 | 2023-04-13 | 2023-05-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-13 | 2023-05-10 | 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 | 2023-04-13 | 2023-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-13 | 2023-05-10 | 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 | 2023-04-13 | 2023-05-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-13 | 2023-05-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-13 | 2023-05-10 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-13 | 2023-05-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-13 | 2023-05-10 | 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 | 2023-04-13 | 2023-05-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-13 | 2023-05-10 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-04-13 | 2023-05-10 | 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 | 2023-04-13 | 2023-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-13 | 2023-05-10 | 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 | 2023-04-18 | 2023-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-18 | 2023-05-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-18 | 2023-04-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-18 | 2023-04-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-18 | 2023-04-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-04-18 | 2023-04-27 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-04-18 | 2023-04-27 | 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 | 2023-02-14 | 2023-03-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-14 | 2023-03-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-14 | 2023-03-10 | Y |
| 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 | 2023-02-14 | 2023-03-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-14 | 2023-03-10 | Y |
| 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 | 2023-02-14 | 2023-03-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-14 | 2023-03-10 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-02-14 | 2023-03-10 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-14 | 2023-03-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-08 | 2023-03-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-08 | 2023-03-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-03-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-08 | 2023-03-10 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-12-08 | 2023-03-10 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-12-08 | 2023-03-10 | Y |
| 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 | 2022-10-20 | 2023-03-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-20 | 2023-03-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-20 | 2023-03-10 | Y |
| 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 | 2022-10-20 | 2023-03-10 | Y |
| 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 | 2022-10-20 | 2023-03-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-20 | 2023-03-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-08 | 2023-01-18 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-12-08 | 2023-01-18 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-12-08 | 2023-01-18 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-12-08 | 2023-01-18 | Y |
| 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 | 2022-12-08 | 2023-01-18 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-12-08 | 2023-01-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-08 | 2023-01-18 | Y |
| Report COVID19 data to residents and families. | Health | 2022-12-08 | 2023-01-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-20 | 2023-01-18 | Y |
| 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 | 2022-10-20 | 2023-01-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-20 | 2023-01-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-20 | 2023-01-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-20 | 2023-01-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-20 | 2023-01-18 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-10-20 | 2023-01-18 | 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 | 2022-10-20 | 2023-01-18 | Y |
| 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 | 2022-10-20 | 2023-01-18 | Y |
| 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 | 2022-10-20 | 2023-01-18 | Y |
| 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 | 2022-10-20 | 2023-01-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-20 | 2023-01-18 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-10-20 | 2023-01-18 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-10-20 | 2023-01-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-20 | 2023-01-18 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-10-20 | 2023-01-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-20 | 2023-01-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-20 | 2023-01-18 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-10-20 | 2023-01-18 | 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 | 2021-11-01 | 2021-12-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-01 | 2021-12-01 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-11-01 | 2021-12-01 | Y |
| 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 | 2021-11-01 | 2021-12-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-01 | 2021-12-01 | Y |
| Ensure a qualified health professional conducts resident assessments. | Health | 2021-11-01 | 2021-12-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-01 | 2021-12-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-01 | 2021-12-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-01 | 2021-12-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-01 | 2021-12-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-01 | 2021-12-01 | 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 | 2021-11-01 | 2021-12-01 | Y |
| 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 | 2021-11-01 | 2021-12-01 | Y |
| 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 | 2021-11-01 | 2021-12-01 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-11-01 | 2021-12-01 | 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 | 2021-11-01 | 2021-12-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-01 | 2021-12-01 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-11-01 | 2021-12-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-01 | 2021-12-01 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-11-01 | 2021-12-01 | Y |
| Report COVID19 data to residents and families. | Health | 2021-11-01 | 2021-12-01 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-01 | 2021-12-01 | Y |
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