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Deficiency Records for Ashby Ponds Inc

A list of the most recent deficiencies for Ashby Ponds Inc. 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 Ashby Ponds Inc. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-02-22 2024-04-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-22 2024-04-05 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-02-22 2024-04-05 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-02-22 2024-04-05 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 2024-02-22 2024-04-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-22 2024-04-05 N
Provide and implement an infection prevention and control program. Health 2024-02-22 2024-04-05 N
Provide properly protected cooking facilities. Fire Safety 2022-05-06 2022-06-03 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-05-06 2022-06-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-04-28 2022-05-31 N
Provide and implement an infection prevention and control program. Health 2022-04-28 2022-05-31 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 2021-04-06 2021-05-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-04-06 2021-05-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-03-26 2021-05-10 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 2021-03-26 2021-05-10 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-03-26 2021-05-10 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-03-26 2021-05-10 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-03-26 2021-05-10 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-03-26 2021-05-10 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-03-26 2021-05-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-03-26 2021-05-10 N

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