Deficiency Records for Ararat Post Acute
Updated as of August 01, 2024
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Deficiency Records for Ararat Post Acute
A list of the most recent deficiencies for Ararat 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 Ararat 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? |
---|---|---|---|---|
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-03 | 2024-05-22 | Y |
Install an approved automatic sprinkler system. | Fire Safety | 2023-12-22 | 2024-01-18 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-22 | 2024-01-18 | N |
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 | 2023-12-19 | 2024-01-08 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-19 | 2024-01-08 | N |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-12-19 | 2024-01-08 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-19 | 2024-01-08 | 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 | 2023-12-19 | 2024-01-08 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-19 | 2024-01-08 | N |
Provide and implement an infection prevention and control program. | Health | 2023-12-19 | 2024-01-08 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-19 | 2023-04-14 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-03-19 | 2023-04-14 | Y |
Provide emergency officials' contact information. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-21 | 2023-03-21 | 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 | 2023-02-21 | 2023-03-21 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-02-16 | 2023-03-16 | 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 | 2023-02-16 | 2023-03-16 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-02-16 | 2023-03-16 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-16 | 2023-03-16 | 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 | 2023-02-16 | 2023-03-16 | N |
Ensure that residents are free from significant medication errors. | Health | 2023-02-16 | 2023-03-16 | 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 | 2023-02-16 | 2023-03-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-16 | 2023-03-16 | N |
Provide and implement an infection prevention and control program. | Health | 2023-02-16 | 2023-03-16 | 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 | 2019-11-15 | 2019-12-16 | N |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-11-15 | 2019-12-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-15 | 2019-12-16 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-15 | 2019-12-16 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-15 | 2019-12-16 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-15 | 2019-12-16 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-15 | 2019-12-12 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-11-15 | 2019-12-12 | N |
Post nurse staffing information every day. | Health | 2019-11-15 | 2019-12-12 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-15 | 2019-12-12 | 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 | 2019-11-15 | 2019-12-12 | 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 | 2019-11-15 | 2019-12-12 | N |
Provide and implement an infection prevention and control program. | Health | 2019-11-15 | 2019-12-12 | N |
Implement a program that monitors antibiotic use. | Health | 2019-11-15 | 2019-12-12 | N |
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