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Deficiency Records for Astoria Place of Silverton
A list of the most recent deficiencies for Astoria Place of Silverton. 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 Astoria Place of Silverton. 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? |
|---|---|---|---|---|
| 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 | 2024-09-11 | 2024-10-28 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-11 | 2024-10-28 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-01 | 2024-07-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-01 | 2024-07-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-29 | 2024-07-19 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-05-29 | 2024-07-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-29 | 2024-07-19 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-29 | 2024-07-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-29 | 2024-05-17 | Y |
| 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 | 2024-03-28 | 2024-05-17 | Y |
| 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 | 2024-02-08 | 2024-02-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-08 | 2024-02-27 | Y |
| Keep all essential equipment working safely. | Health | 2024-02-08 | 2024-02-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-04 | 2024-02-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-04 | 2023-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-31 | 2023-08-17 | Y |
| 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 | 2023-07-31 | 2023-08-17 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-07-19 | 2023-08-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-19 | 2023-08-17 | Y |
| 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 | 2023-04-14 | 2023-06-30 | Y |
| 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 | 2023-04-11 | 2023-06-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-11 | 2023-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-11 | 2023-06-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-11 | 2023-06-30 | 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 | 2023-04-11 | 2023-06-14 | 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 | 2023-04-11 | 2023-06-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-04-11 | 2023-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-11 | 2023-06-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-11 | 2023-06-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-11 | 2023-06-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-11 | 2023-06-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-11 | 2023-06-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-11 | 2023-06-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-11 | 2023-06-14 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-04-11 | 2023-06-14 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-04-11 | 2023-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-11 | 2023-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-11 | 2023-06-14 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-04-14 | 2023-05-31 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-04-14 | 2023-05-31 | 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 | 2023-04-14 | 2023-05-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-06 | 2022-11-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-06 | 2022-11-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-06 | 2022-11-01 | Y |
| 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 | 2022-10-06 | 2022-11-01 | 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 | 2022-10-06 | 2022-11-01 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-06 | 2022-11-01 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-10-06 | 2022-11-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-06 | 2022-11-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-25 | 2022-03-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-25 | 2022-03-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-25 | 2022-03-30 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-25 | 2022-03-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-25 | 2022-03-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-10 | 2022-01-11 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-12-09 | 2022-01-11 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-09 | 2022-01-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-09 | 2022-01-11 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-12-09 | 2022-01-11 | Y |
| 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 | 2021-12-09 | 2022-01-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-01 | 2022-01-11 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-12-01 | 2022-01-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-01 | 2022-01-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-01 | 2022-01-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-01 | 2022-01-11 | Y |
| 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 | 2019-12-18 | 2020-02-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-18 | 2020-02-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-18 | 2020-02-26 | N |
| Respond appropriately to all alleged violations. | Health | 2019-12-18 | 2020-02-26 | 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 | 2019-12-18 | 2020-02-26 | N |
| Provide activities to meet all resident's needs. | Health | 2019-12-18 | 2020-02-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-18 | 2020-02-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-18 | 2020-02-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-12-18 | 2020-02-26 | 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 | 2019-12-16 | 2020-02-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-16 | 2020-02-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-16 | 2020-02-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-16 | 2020-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-16 | 2020-02-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-15 | 2018-12-21 | 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 | 2018-11-15 | 2018-12-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-11-15 | 2018-12-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-11-15 | 2018-12-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-15 | 2018-12-21 | N |
| Respond appropriately to all alleged violations. | Health | 2018-11-15 | 2018-12-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-15 | 2018-12-21 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-11-15 | 2018-12-21 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-11-15 | 2018-12-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-11-15 | 2018-12-21 | 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 | 2018-11-15 | 2018-12-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-15 | 2018-12-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-15 | 2018-12-21 | 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 | 2018-11-15 | 2018-12-21 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-11-15 | 2018-12-21 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-11-15 | 2018-12-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-15 | 2018-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-15 | 2018-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-15 | 2018-12-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-11-15 | 2018-12-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-11-15 | 2018-12-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-13 | 2018-12-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-11-13 | 2018-12-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-13 | 2018-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-13 | 2018-12-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-11-13 | 2018-12-21 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2018-11-13 | 2018-12-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-13 | 2018-12-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-13 | 2018-12-21 | 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 | 2018-11-15 | 2018-12-14 | N |
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