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Deficiency Records for Aspire Senior Living Poplar Bluff
A list of the most recent deficiencies for Aspire Senior Living Poplar Bluff. 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 Senior Living Poplar Bluff. 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-01 | 2024-01-18 | 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 | 2023-12-01 | 2024-01-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-01 | 2024-01-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-01 | 2024-01-18 | 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 | 2023-12-01 | 2024-01-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-01 | 2024-01-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-01 | 2024-01-18 | N |
| Dispose of garbage and refuse properly. | Health | 2023-12-01 | 2024-01-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2024-01-18 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-12-01 | 2024-01-18 | 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 | 2023-12-01 | 2024-01-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-01 | 2024-01-18 | 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 | 2023-12-01 | 2024-01-18 | 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 | 2023-12-01 | 2024-01-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-01 | 2024-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-01 | 2024-01-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-01 | 2024-01-15 | 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 | 2022-06-17 | 2022-08-18 | 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 | 2022-06-17 | 2022-08-02 | 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 | 2022-06-17 | 2022-08-02 | 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 | 2022-06-17 | 2022-08-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-17 | 2022-08-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-06-17 | 2022-08-02 | 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 | 2022-06-17 | 2022-08-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-17 | 2022-08-02 | 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 | 2022-06-17 | 2022-08-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-17 | 2022-08-02 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-06-17 | 2022-08-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-17 | 2022-08-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-06-17 | 2022-08-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-17 | 2022-08-02 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-06-17 | 2022-08-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-17 | 2022-08-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-17 | 2022-08-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-23 | 2021-12-20 | 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 | 2021-11-23 | 2021-12-15 | Y |
| Post nurse staffing information every day. | Health | 2021-11-23 | 2021-12-15 | 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 | 2019-10-31 | 2019-12-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-31 | 2019-12-14 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-10-31 | 2019-12-14 | 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 | 2019-10-31 | 2019-12-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-10-31 | 2019-12-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-31 | 2019-12-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-31 | 2019-12-14 | 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 | 2019-10-31 | 2019-12-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-31 | 2019-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-31 | 2019-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-31 | 2019-12-14 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-31 | 2019-12-14 | 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 | 2019-10-31 | 2019-12-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-10-31 | 2019-12-14 | 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 | 2019-10-31 | 2019-12-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-31 | 2019-12-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-31 | 2019-12-14 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-10-31 | 2019-12-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-31 | 2019-12-14 | N |
| Have an externally vented heating system. | Fire Safety | 2019-10-31 | 2019-12-14 | N |
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