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Deficiency Records for Aspire Senior Living Excelsior Springs
A list of the most recent deficiencies for Aspire Senior Living Excelsior Springs. 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 Excelsior Springs. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-26 | 2024-08-08 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-07-26 | 2024-08-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-07-26 | 2024-08-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-26 | 2024-07-30 | 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 | 2024-07-26 | 2024-07-30 | 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 | 2024-07-25 | 2024-07-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-25 | 2024-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-25 | 2024-07-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-07-25 | 2024-07-29 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-06-23 | 2022-08-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-23 | 2022-08-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-23 | 2022-08-18 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-06-23 | 2022-08-18 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-06-23 | 2022-08-18 | 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 | 2022-06-23 | 2022-08-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-06-23 | 2022-08-18 | 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 | 2022-06-23 | 2022-08-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-23 | 2022-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-23 | 2022-08-18 | 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 | 2022-06-23 | 2022-08-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-23 | 2022-08-18 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-06-23 | 2022-08-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-06-23 | 2022-08-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-06-23 | 2022-08-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-23 | 2022-08-18 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-23 | 2022-08-18 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-06-23 | 2022-08-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-23 | 2022-08-18 | 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 | 2022-06-23 | 2022-08-18 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-03 | 2022-06-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-14 | 2021-12-24 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-04-05 | 2019-05-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-05 | 2019-05-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-05 | 2019-05-20 | 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 | 2019-04-05 | 2019-05-20 | 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 | 2019-04-05 | 2019-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-05 | 2019-05-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-05 | 2019-05-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-26 | Not Fixed | N |
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