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Deficiency Records for Ashland Health Services
A list of the most recent deficiencies for Ashland Health Services. 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 Health Services. 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? |
|---|---|---|---|---|
| Ensure the activities program is directed by a qualified professional. | Health | 2024-06-05 | 2024-07-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-05 | 2024-07-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-05 | 2024-07-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-05 | 2024-07-17 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-06-05 | 2024-07-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-05 | 2024-07-17 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-06-05 | 2024-07-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-05 | 2024-07-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-05 | 2024-07-17 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-06-05 | 2024-07-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-11 | 2024-07-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-06-11 | 2024-07-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-11 | 2024-07-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-06-28 | 2023-07-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-28 | 2023-07-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-28 | 2023-07-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-28 | 2023-07-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-28 | 2023-07-26 | N |
| 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 | 2023-06-28 | 2023-07-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-28 | 2023-07-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-28 | 2023-07-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-28 | 2023-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-28 | 2023-07-26 | 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 | 2023-06-27 | 2023-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-27 | 2023-07-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-27 | 2023-07-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-27 | 2023-07-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-05-17 | 2022-09-29 | 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 | 2022-05-17 | 2022-06-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-17 | 2022-06-19 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-05-17 | 2022-06-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-17 | 2022-06-19 | N |
| 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 | 2022-02-23 | 2022-02-23 | Y |
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