Deficiency Records for Aspire at Big Bend
Updated as of November 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-12 | 2019-05-14 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-04-12 | 2019-05-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-12 | 2019-05-14 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2019-04-12 | 2019-05-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-12 | 2019-05-14 | N |
| Be properly staffed | Fire Safety | 2019-04-12 | 2019-05-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-12 | 2019-05-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-12 | 2019-05-14 | 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 | 2019-03-06 | 2019-05-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-06 | 2019-05-14 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-03-06 | 2019-05-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-12 | 2019-05-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-04-12 | 2019-05-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-04-12 | 2019-05-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-12 | 2019-05-14 | 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 ne | Health | 2019-04-12 | 2019-05-14 | N |
| Dispose of garbage and refuse properly. | Health | 2019-04-12 | 2019-05-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-12 | 2019-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-12 | 2019-05-14 | N |
| Keep all essential equipment working safely. | Health | 2019-04-12 | 2019-05-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-12 | 2019-05-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-12 | 2019-05-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-04-12 | 2019-05-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-06 | 2019-03-29 | Y |
| 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 |
