Deficiency Records for Ardent Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Ardent Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-21 | 2024-01-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-21 | 2024-01-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-21 | 2024-01-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-21 | 2024-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-21 | 2024-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-21 | 2024-01-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-21 | 2024-01-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-21 | 2024-01-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-21 | 2024-01-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-11-21 | 2024-01-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-21 | 2024-01-13 | N |
| 1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to. | Health | 2023-10-26 | 2023-10-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-26 | 2023-10-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-26 | 2023-10-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-26 | 2023-10-27 | 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 | 2023-10-26 | 2023-10-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-26 | 2023-10-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-10-27 | Y |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2023-10-26 | 2023-10-27 | 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 | 2023-10-26 | 2023-10-27 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-26 | 2023-10-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-26 | 2023-10-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-21 | 2022-11-21 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-16 | 2022-10-13 | 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 | 2022-08-16 | 2022-10-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-16 | 2022-10-13 | 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 | 2022-08-16 | 2022-10-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-16 | 2022-09-19 | 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 | 2022-07-21 | 2022-08-23 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-07-21 | 2022-08-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-21 | 2022-08-23 | N |
| 1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to. | Health | 2022-07-21 | 2022-08-23 | 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 | 2022-07-21 | 2022-08-23 | 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 | 2022-07-21 | 2022-08-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-21 | 2022-08-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-21 | 2022-08-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-07-21 | 2022-08-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-21 | 2022-08-23 | 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 | 2022-07-21 | 2022-08-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-07-21 | 2022-08-23 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-07-21 | 2022-08-23 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-07-21 | 2022-08-23 | 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 | 2022-07-21 | 2022-08-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-21 | 2022-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-21 | 2022-08-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-21 | 2022-08-23 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-07-21 | 2022-08-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-21 | 2022-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-21 | 2022-08-23 | Y |
| Provide or obtain dental services for each resident. | Health | 2022-07-21 | 2022-08-23 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-07-21 | 2022-08-23 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-07-21 | 2022-08-23 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-07-21 | 2022-08-23 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-07-21 | 2022-08-23 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-07-21 | 2022-08-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-07-21 | 2022-08-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-07-21 | 2022-08-23 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-07-21 | 2022-08-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-07-21 | 2022-08-23 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-07-21 | 2022-08-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-21 | 2022-08-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-21 | 2022-08-23 | 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 | 2019-10-29 | 2019-12-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-29 | 2019-12-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-29 | 2019-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-29 | 2019-12-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-29 | 2019-12-06 | 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 | 2019-10-29 | 2019-12-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-11 | 2019-12-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-29 | 2019-11-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-29 | 2019-11-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-11 | 2019-11-18 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-10-11 | 2019-11-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-10-11 | 2019-11-14 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2019-10-11 | 2019-11-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-11 | 2019-11-14 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-11 | 2019-11-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-11 | 2019-11-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-10-11 | 2019-11-14 | 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 | 2019-10-11 | 2019-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-11 | 2019-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-11 | 2019-11-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-29 | 2019-11-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-29 | 2019-11-04 | N |
