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Deficiency Records for Aspen Hill Rehabiliation and Healthcare Center

A list of the most recent deficiencies for Aspen Hill Rehabiliation and Healthcare 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 Aspen Hill Rehabiliation and Healthcare 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?
Keep residents' personal and medical records private and confidential. Health 2024-01-25 2024-03-05 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 2024-01-25 2024-03-05 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-01-25 2024-03-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-25 2024-03-05 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-01-25 2024-03-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-25 2024-03-05 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-25 2024-03-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-25 2024-03-05 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 2024-01-25 2024-03-05 N
Provide enough food/fluids to maintain a resident's health. Health 2024-01-25 2024-03-05 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-01-25 2024-03-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-25 2024-03-05 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 2024-01-25 2024-03-05 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 2024-01-25 2024-03-05 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-01-25 2024-03-05 N
Ensure medication error rates are not 5 percent or greater. Health 2024-01-25 2024-03-05 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 2024-01-25 2024-03-05 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-01-25 2024-03-05 N
Dispose of garbage and refuse properly. Health 2024-01-25 2024-03-05 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-01-25 2024-03-05 N
Provide and implement an infection prevention and control program. Health 2024-01-25 2024-03-05 N
Implement a program that monitors antibiotic use. Health 2024-01-25 2024-03-05 N
Meet other general requirements. Fire Safety 2024-02-06 2024-03-05 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-09-19 2023-10-27 Y
Have an externally vented heating system. Fire Safety 2022-12-06 2023-01-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-06 2022-12-23 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-12-06 2022-12-13 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-11-17 2022-12-09 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 2022-11-17 2022-12-09 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 2022-11-17 2022-12-09 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-11-17 2022-12-09 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-11-17 2022-12-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-17 2022-12-09 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-11-17 2022-12-09 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 2022-11-17 2022-12-09 N
Provide care or services that was trauma informed and/or culturally competent. Health 2022-11-17 2022-12-09 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2022-11-17 2022-12-09 N
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2022-08-31 2022-09-22 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2021-11-16 2021-12-22 Y
Meet other general requirements. Fire Safety 2021-05-04 2021-06-18 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 2021-05-04 2021-05-25 N
Have proper medical gas storage and administration areas. Fire Safety 2021-05-04 2021-05-25 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 2021-04-20 2021-05-17 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2021-04-20 2021-05-17 N
Ensure each resident receives an accurate assessment. Health 2021-04-20 2021-05-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-04-20 2021-05-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-04-20 2021-05-17 N
Provide enough food/fluids to maintain a resident's health. Health 2021-04-20 2021-05-17 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 2021-04-20 2021-05-17 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-04-20 2021-05-17 N
Provide and implement an infection prevention and control program. Health 2021-04-20 2021-05-17 N

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