A list of the most recent deficiencies for Aspire at Seminole. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-14 | 2022-03-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-01-14 | 2022-03-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-14 | 2022-02-14 | 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 | 2022-01-14 | 2022-02-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-14 | 2022-02-14 | 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 | 2022-01-14 | 2022-02-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-14 | 2022-02-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-14 | 2022-02-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-14 | 2022-02-14 | 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 | 2022-01-14 | 2022-02-14 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-13 | 2022-02-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-13 | 2022-02-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-10-30 | 2020-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-30 | 2020-11-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-28 | 2020-11-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-18 | 2019-05-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-18 | 2019-05-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-04-18 | 2019-05-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-18 | 2019-05-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-04-18 | 2019-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-18 | 2019-05-09 | N |
| Dispose of garbage and refuse properly. | Health | 2019-04-18 | 2019-05-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-18 | 2019-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-05-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-04-17 | 2019-05-09 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-04-17 | 2019-05-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-04-17 | 2019-05-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-04-17 | 2019-05-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-04-17 | 2019-05-09 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-04-17 | 2019-05-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-17 | 2019-05-09 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-04-17 | 2019-05-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-17 | 2019-05-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-17 | 2019-05-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-17 | 2019-05-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-17 | 2019-05-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-17 | 2019-05-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-17 | 2019-05-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-17 | 2019-05-09 | N |
