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Deficiency Records for Ashland Post Acute
A list of the most recent deficiencies for Ashland Post Acute. 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 Ashland Post Acute. 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 be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-08-30 | 2024-09-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-30 | 2024-09-26 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-08-30 | 2024-09-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-30 | 2024-09-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-30 | 2024-09-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-30 | 2024-09-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-22 | 2024-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-22 | 2024-02-15 | 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 | 2024-01-22 | 2024-02-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-22 | 2024-02-15 | 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 | 2024-01-22 | 2024-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-22 | 2024-02-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-22 | 2024-02-15 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-01-22 | 2024-02-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-22 | 2024-02-15 | 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 | 2024-01-22 | 2024-02-15 | 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 | 2024-01-22 | 2024-02-15 | 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 | 2024-01-22 | 2024-02-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-22 | 2024-02-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-22 | 2024-02-15 | Y |
| 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 | 2024-01-22 | 2024-02-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-22 | 2024-02-15 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-23 | 2024-02-09 | N |
| 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 | 2022-10-07 | 2022-11-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-07 | 2022-11-08 | 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 | 2022-10-07 | 2022-11-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-07 | 2022-11-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-07 | 2022-11-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-07 | 2022-11-08 | 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 | 2022-10-07 | 2022-11-08 | 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 | 2022-10-07 | 2022-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-07 | 2022-11-08 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2022-10-05 | 2022-11-08 | N |
| 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 | 2022-10-05 | 2022-11-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-05 | 2022-11-08 | 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 | 2022-03-21 | 2022-04-29 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-03-21 | 2022-04-29 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-03-21 | 2022-04-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-21 | 2022-04-29 | 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 | 2022-03-21 | 2022-04-29 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-04-19 | 2022-02-02 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2020-02-27 | 2021-04-07 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-02-27 | 2021-04-07 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-02-27 | 2021-04-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-27 | 2021-04-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-27 | 2021-04-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-27 | 2021-04-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-27 | 2021-04-07 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-27 | 2021-04-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-27 | 2021-04-07 | 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 | 2020-02-27 | 2021-04-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2021-04-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-27 | 2021-04-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-27 | 2021-04-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-27 | 2021-04-07 | 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 | 2020-02-27 | 2021-04-07 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-02-27 | 2021-04-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2021-04-07 | 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 | 2020-02-27 | 2021-04-07 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
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