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Deficiency Records for Aurora Nursing
A list of the most recent deficiencies for Aurora Nursing. 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 Aurora Nursing. 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 | 2024-04-12 | 2024-05-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-12 | 2024-05-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-12 | 2024-05-25 | 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 | 2024-04-12 | 2024-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-12 | 2024-05-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-12 | 2024-05-25 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-04-12 | 2024-05-25 | 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 | 2024-04-12 | 2024-05-25 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-12 | 2024-05-25 | 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 | 2024-04-12 | 2024-05-25 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-04-12 | 2024-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-12 | 2024-05-25 | N |
| 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 | 2024-04-12 | 2024-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-12 | 2024-05-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-04-12 | 2024-05-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-12 | 2024-05-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-12 | 2024-05-25 | Y |
| Use approved construction type or materials. | Fire Safety | 2024-04-12 | 2024-05-25 | 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 | 2024-04-12 | 2024-05-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-04-12 | 2024-05-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-12 | 2024-05-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-12 | 2024-05-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-12 | 2024-05-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-04-12 | 2024-05-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-12 | 2024-05-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-12 | 2024-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-12 | 2024-05-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-22 | 2023-10-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-14 | 2023-02-28 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-11 | 2022-11-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-11 | 2022-08-09 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-11 | 2022-08-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-01 | 2022-08-09 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-01 | 2022-08-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-01 | 2022-08-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-19 | 2022-08-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-19 | 2022-08-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-19 | 2022-08-09 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-11 | 2022-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-11 | 2022-08-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-11 | 2022-08-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-11 | 2022-07-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-11 | 2022-07-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-11 | 2022-06-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-05-11 | 2022-06-25 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-05-11 | 2022-06-25 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-05-11 | 2022-06-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-11 | 2022-06-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-11 | 2022-06-25 | N |
| 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 | 2022-05-11 | 2022-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-11 | 2022-06-25 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-05-11 | 2022-06-25 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-05-11 | 2022-06-25 | 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 | 2022-05-11 | 2022-06-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-11 | 2022-06-25 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-05-11 | 2022-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-11 | 2022-06-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-11 | 2022-06-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-11 | 2022-06-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-05-11 | 2022-06-25 | 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 | 2022-05-11 | 2022-06-25 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-05-11 | 2022-06-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-11 | 2022-06-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-19 | 2019-10-17 | 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 | 2019-08-19 | 2019-10-17 | 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 | 2019-08-19 | 2019-10-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-19 | 2019-10-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-19 | 2019-10-17 | 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 | 2019-08-19 | 2019-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-19 | 2019-10-17 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-19 | 2019-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-19 | 2019-10-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-08-19 | 2019-10-17 | N |
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