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Deficiency Records for Aspire of Lake Park

A list of the most recent deficiencies for Aspire of Lake Park. 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 Lake Park. 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?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-18 2024-04-23 N
Create arrangements with other facilities to receive patients. Fire Safety 2024-03-18 2024-04-19 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2024-03-21 2024-04-18 N
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2024-03-21 2024-04-18 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 2024-03-21 2024-04-18 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 2024-03-21 2024-04-18 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-03-21 2024-04-18 N
Ensure each resident receives an accurate assessment. Health 2024-03-21 2024-04-18 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-03-21 2024-04-18 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 2024-03-21 2024-04-18 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2024-03-21 2024-04-18 N
Provide enough food/fluids to maintain a resident's health. Health 2024-03-21 2024-04-18 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2024-03-21 2024-04-18 N
Post nurse staffing information every day. Health 2024-03-21 2024-04-18 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-03-21 2024-04-18 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-03-21 2024-04-18 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 2024-03-21 2024-04-18 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 2024-03-21 2024-04-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-21 2024-04-18 N
Dispose of garbage and refuse properly. Health 2024-03-21 2024-04-18 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-03-21 2024-04-18 N
Provide a neutral and fair arbitration process and agree to arbitrator and venue. Health 2024-03-21 2024-04-18 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2024-03-21 2024-04-18 N
Put firmly secured handrails on each side of hallways. Health 2024-03-21 2024-04-18 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-03-21 2024-04-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-03-21 2024-04-18 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 2024-03-21 2024-04-18 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-03-21 2024-04-18 Y
Provide and implement an infection prevention and control program. Health 2024-03-21 2024-04-18 Y
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 2024-03-21 2024-04-18 Y
Conduct testing and exercise requirements. Fire Safety 2024-03-18 2024-04-16 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2024-03-18 2024-04-12 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-03-18 2024-04-12 N
Establish policies and procedures for sheltering. Fire Safety 2024-03-18 2024-04-11 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-03-18 2024-04-11 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-03-18 2024-04-11 N
Provide properly protected cooking facilities. Fire Safety 2024-03-18 2024-04-11 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-03-18 2024-04-11 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-03-18 2024-04-11 N
Provide a written emergency evacuation plan. Fire Safety 2024-03-18 2024-04-11 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-03-18 2024-04-11 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-03-18 2024-04-09 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-03-18 2024-04-08 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-03-21 2024-04-04 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-03-18 2024-04-04 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-01-31 2023-02-24 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 2023-01-31 2023-02-24 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-01-31 2023-02-24 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-01-31 2023-02-24 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-01-31 2023-02-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-31 2023-02-24 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-01-31 2023-02-24 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-01-31 2023-02-24 N
Provide enough food/fluids to maintain a resident's health. Health 2023-01-31 2023-02-24 N
Post nurse staffing information every day. Health 2023-01-31 2023-02-24 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 2023-01-31 2023-02-24 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 2023-01-31 2023-02-24 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 2023-01-31 2023-02-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-01-31 2023-02-24 N
Provide and implement an infection prevention and control program. Health 2023-01-31 2023-02-24 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-01-31 2023-02-24 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-01-31 2023-02-24 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 2023-01-31 2023-02-24 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 2023-01-31 2023-02-24 Y
Ensure proper usage of power strips and extension cords. Fire Safety 2023-01-30 2023-02-09 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-01-30 2023-02-08 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-01-30 2023-02-06 N
Conduct testing and exercise requirements. Fire Safety 2023-01-30 2023-02-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-01-30 2023-02-06 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-01-30 2023-02-06 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-01-30 2023-02-06 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-01-30 2023-01-30 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-01-30 2023-01-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-31 2022-12-07 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-09-20 2022-10-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-20 2022-10-20 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-10-14 2021-11-18 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 2021-10-14 2021-11-18 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 2021-10-07 2021-11-09 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2021-10-07 2021-11-09 N
Assess the resident when there is a significant change in condition Health 2021-10-07 2021-11-09 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2021-10-07 2021-11-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-10-07 2021-11-09 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 2021-10-07 2021-11-09 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2021-10-07 2021-11-09 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2021-10-07 2021-11-09 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 2021-10-07 2021-11-09 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-10-07 2021-11-09 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2021-10-07 2021-11-09 Y
Post nurse staffing information every day. Health 2021-10-07 2021-11-09 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 2021-10-07 2021-11-09 Y
Provide and implement an infection prevention and control program. Health 2021-10-07 2021-11-09 Y
Conduct testing and exercise requirements. Fire Safety 2021-09-29 2021-11-09 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-09-29 2021-11-09 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-09-29 2021-11-09 N
Have an enclosure around a vertical opening shaft. Fire Safety 2021-09-29 2021-11-09 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-09-29 2021-11-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-09-29 2021-11-09 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-09-29 2021-11-09 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-09-29 2021-11-08 N
Use approved construction type or materials. Fire Safety 2021-09-29 2021-10-18 N
Provide properly protected cooking facilities. Fire Safety 2021-09-29 2021-10-18 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2021-09-29 2021-10-18 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-09-29 2021-10-06 N
Have restrictions on the use of flammable curtains. Fire Safety 2021-09-29 2021-10-06 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-09-29 2021-09-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-09-29 2021-09-30 N

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