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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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