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Deficiency Records for Aspire of Perry
A list of the most recent deficiencies for Aspire of Perry. 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 Perry. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-05-09 | 2024-06-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-09 | 2024-06-10 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-05-09 | 2024-06-10 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-09 | 2024-06-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-27 | 2024-04-23 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-03-27 | 2024-04-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-27 | 2024-04-09 | 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 | 2023-09-07 | 2023-10-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-07 | 2023-10-18 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-09-07 | 2023-10-18 | 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 | 2023-09-07 | 2023-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-07 | 2023-10-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-09-07 | 2023-10-18 | 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 | 2023-09-07 | 2023-10-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-09-07 | 2023-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-07 | 2023-10-18 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-09-07 | 2023-10-18 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-09-07 | 2023-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-07 | 2023-10-18 | 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 | 2023-09-07 | 2023-10-18 | 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 | 2023-09-07 | 2023-10-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-07 | 2023-10-18 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-13 | 2023-10-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-09-13 | 2023-09-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-13 | 2023-09-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-13 | 2023-09-20 | 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 | 2023-09-13 | 2023-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-13 | 2023-09-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-13 | 2023-09-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-09-13 | 2023-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-13 | 2023-09-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-13 | 2023-09-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-13 | 2023-09-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-09-13 | 2023-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-13 | 2023-09-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-13 | 2023-09-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-09-13 | 2023-09-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-02 | 2023-03-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-02 | 2023-03-02 | 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 | 2023-02-02 | 2023-03-02 | 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 | 2023-02-02 | 2023-03-02 | 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 | 2023-02-02 | 2023-03-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-02 | 2023-03-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-02 | 2023-03-02 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-02-02 | 2023-03-02 | 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 | 2022-08-25 | 2022-09-23 | 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 | 2022-08-25 | 2022-09-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-20 | 2022-08-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-06-20 | 2022-08-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-06-20 | 2022-08-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-06-20 | 2022-08-23 | N |
| Use approved construction type or materials. | Fire Safety | 2022-06-20 | 2022-08-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-06-20 | 2022-08-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-20 | 2022-08-23 | 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 | 2022-06-20 | 2022-08-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-20 | 2022-08-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-06-20 | 2022-08-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-20 | 2022-08-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-20 | 2022-08-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-20 | 2022-08-23 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-06-23 | 2022-08-04 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-06-23 | 2022-08-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-23 | 2022-08-04 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-06-23 | 2022-08-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-06-23 | 2022-08-04 | 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 | 2022-06-23 | 2022-08-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-23 | 2022-08-04 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-06-23 | 2022-08-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-23 | 2022-08-04 | 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 | 2022-06-23 | 2022-08-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-23 | 2022-08-04 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-06-23 | 2022-08-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-23 | 2022-08-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-20 | 2022-07-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-20 | 2022-06-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-20 | 2022-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-20 | 2022-06-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-20 | 2022-06-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-20 | 2022-06-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-20 | 2022-06-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-20 | 2022-06-20 | 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 | 2021-04-26 | 2021-05-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-26 | 2021-05-17 | 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 | 2021-04-26 | 2021-05-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-04-26 | 2021-05-17 | 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 | 2021-04-26 | 2021-05-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-26 | 2021-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-26 | 2021-05-17 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-04-26 | 2021-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-26 | 2021-05-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-04-20 | 2021-05-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-04-20 | 2021-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-20 | 2021-05-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-20 | 2021-05-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-20 | 2021-05-15 | N |
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