Deficiency Records for Aspire at Big Bend
Updated as of March 01, 2019
This is not the most recent data for Aspire at Big Bend. For the most recent information, click here.
A list of the most recent deficiencies for Aspire at Big Bend. 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? |
|---|---|---|---|---|
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-10-08 | 2018-11-08 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2018-04-27 | 2018-06-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-27 | 2018-05-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-27 | 2018-05-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-27 | 2018-05-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-27 | 2018-05-25 | N |
| Provide or obtain dental services for each resident. | Health | 2018-04-27 | 2018-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-27 | 2018-05-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-24 | 2018-05-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-24 | 2018-05-17 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2018-04-24 | 2018-05-17 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-09-21 | 2017-10-18 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-09-21 | 2017-10-18 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-09-21 | 2017-10-18 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-09-21 | 2017-10-18 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-06-14 | 2017-06-30 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-21 | 2017-06-02 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-03-24 | 2017-05-10 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-03-24 | 2017-05-10 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-03-24 | 2017-05-10 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-03-24 | 2017-05-10 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-03-24 | 2017-05-10 | N |
| Give notice to the resident before a room or roommate change. | Health | 2017-03-24 | 2017-05-10 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-24 | 2017-05-10 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-03-24 | 2017-05-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-24 | 2017-05-10 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-03-24 | 2017-05-10 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-24 | 2017-05-10 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-03-24 | 2017-05-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-03-24 | 2017-05-10 | 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 | 2017-03-24 | 2017-05-10 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2017-03-21 | 2017-04-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-09-21 | 2016-10-21 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-09-21 | 2016-10-21 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-09-21 | 2016-10-21 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-09-21 | 2016-10-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-21 | 2016-10-21 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-21 | 2016-10-21 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-04-19 | 2016-05-21 | N |
| At least two compartments on every floor to protect residents from smoke. | Fire Safety | 2016-04-19 | 2016-05-21 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-04-19 | 2016-05-21 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-04-19 | 2016-05-21 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-04-19 | 2016-05-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-04-21 | 2016-05-21 | N |
| Provide housekeeping and maintenance services. | Health | 2016-04-21 | 2016-05-21 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-04-21 | 2016-05-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-04-21 | 2016-05-21 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-04-21 | 2016-05-21 | N |
