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Deficiency Records for The Meadows at Ashland
A list of the most recent deficiencies for The Meadows at Ashland. 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 The Meadows at Ashland. 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? |
---|---|---|---|---|
Implement emergency and standby power systems. | Fire Safety | 2024-06-11 | 2024-08-09 | 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 | 2024-06-11 | 2024-08-09 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-11 | 2024-08-09 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-06-17 | 2024-07-25 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-06-17 | 2024-07-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-17 | 2024-07-25 | 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 | 2024-06-17 | 2024-07-25 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-06-17 | 2024-07-25 | Y |
Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2024-06-17 | 2024-07-25 | Y |
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 | 2024-06-11 | 2024-07-19 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-11 | 2024-07-19 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-06-11 | 2024-07-19 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-06-11 | 2024-07-19 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-11 | 2024-07-19 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-11 | 2024-07-19 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-11 | 2024-07-19 | N |
Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-06-11 | 2024-07-19 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-03-13 | 2024-05-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-12 | 2023-10-06 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2023-06-23 | 2023-07-21 | N |
Provide and implement an infection prevention and control program. | Health | 2023-06-23 | 2023-07-21 | N |
Implement emergency and standby power systems. | Fire Safety | 2023-06-22 | 2023-07-21 | 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 | 2023-06-22 | 2023-07-21 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-22 | 2023-07-21 | 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 | 2023-06-22 | 2023-07-21 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-22 | 2023-07-21 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2023-06-22 | 2023-07-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-22 | 2023-07-21 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-22 | 2023-07-21 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-22 | 2023-07-21 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-22 | 2023-07-21 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-22 | 2023-07-21 | N |
Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-06-22 | 2023-07-21 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-22 | 2023-07-21 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-24 | 2022-07-01 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-24 | 2022-07-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-24 | 2022-07-01 | 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 | 2022-05-24 | 2022-07-01 | 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 | 2022-05-24 | 2022-07-01 | N |
Ensure that residents are free from significant medication errors. | Health | 2022-05-24 | 2022-07-01 | 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 | 2022-05-24 | 2022-07-01 | N |
Provide and implement an infection prevention and control program. | Health | 2022-05-24 | 2022-07-01 | 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 | 2022-05-24 | 2022-07-01 | Y |
Implement emergency and standby power systems. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
Meet other general requirements. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-19 | 2022-07-01 | 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 | 2022-05-19 | 2022-07-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
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