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Deficiency Records for Aspire Senior Living Oak Grove
A list of the most recent deficiencies for Aspire Senior Living Oak Grove. 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 Oak Grove. 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-08-02 | 2024-09-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-08-02 | 2024-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-02 | 2024-09-16 | N |
| Provide or obtain dental services for each resident. | Health | 2024-08-02 | 2024-09-16 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-08-02 | 2024-09-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-08-02 | 2024-09-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-08-02 | 2024-09-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-02 | 2024-09-16 | 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 | 2024-08-02 | 2024-09-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-08-02 | 2024-09-16 | 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 | 2024-08-02 | 2024-09-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-02 | 2024-09-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-08-02 | 2024-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-02 | 2024-09-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-08-02 | 2024-09-16 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2024-08-02 | 2024-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-02 | 2024-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-02 | 2024-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-02 | 2024-08-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-29 | 2024-03-14 | Y |
| 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 | 2024-01-29 | 2024-03-14 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-29 | 2024-03-14 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-11-16 | 2023-05-17 | 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 | 2022-11-16 | 2023-05-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-16 | 2023-05-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-16 | 2023-05-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-16 | 2023-05-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-23 | 2023-02-06 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-16 | 2022-12-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-16 | 2022-12-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-16 | 2022-12-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-16 | 2022-12-31 | N |
| Post nurse staffing information every day. | Health | 2022-11-16 | 2022-12-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-16 | 2022-12-31 | 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 | 2022-11-16 | 2022-12-31 | 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 | 2022-11-16 | 2022-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-16 | 2022-12-31 | N |
| Keep all essential equipment working safely. | Health | 2022-11-16 | 2022-12-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-16 | 2022-12-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-16 | 2022-12-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-16 | 2022-12-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-11-16 | 2022-12-31 | 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 | 2022-11-16 | 2022-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-16 | 2022-12-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-11-16 | 2022-12-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-16 | 2022-12-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-16 | 2022-12-31 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2022-11-16 | 2022-12-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-20 | 2020-04-02 | 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 | 2020-02-20 | 2020-04-02 | 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 | 2020-02-20 | 2020-04-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-20 | 2020-04-02 | N |
| Dispose of garbage and refuse properly. | Health | 2020-02-20 | 2020-04-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-20 | 2020-04-02 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2020-02-20 | 2020-04-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-02-20 | 2020-04-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-02-20 | 2020-04-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-02-20 | 2020-04-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-20 | 2020-04-02 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2020-02-20 | 2020-04-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-20 | 2020-04-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-20 | 2020-04-02 | N |
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