Deficiency Records for Aspire at Seminole
Updated as of May 01, 2020
This is not the most recent data for Aspire at Seminole. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-23 | 2019-07-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-06-23 | 2019-07-18 | Y |
| 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 |
| Be properly staffed | 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 |
| 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 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-08 | 2019-05-09 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-03-08 | 2019-05-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-08 | 2019-04-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-08 | 2019-04-08 | 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 | 2019-03-08 | 2019-04-08 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-11-05 | 2018-12-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-05 | 2018-12-05 | Y |
| Keep all essential equipment working safely. | Health | 2018-11-05 | 2018-12-05 | Y |
| 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 | 2018-08-23 | 2018-09-22 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-01-16 | 2018-02-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-16 | 2018-02-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-16 | 2018-02-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-01-16 | 2018-02-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-01-16 | 2018-02-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-19 | 2018-02-19 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-01-19 | 2018-02-19 | 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 | 2018-01-19 | 2018-02-19 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-01-19 | 2018-02-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-19 | 2018-02-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-19 | 2018-02-19 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-01-19 | 2018-02-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-01-19 | 2018-02-19 | 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 | 2018-01-19 | 2018-02-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-19 | 2018-02-19 | N |
| Dispose of garbage and refuse properly. | Health | 2018-01-19 | 2018-02-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-19 | 2018-02-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-01-19 | 2018-02-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-19 | 2018-02-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-01-19 | 2018-02-19 | 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 | 2018-01-19 | 2018-02-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-19 | 2018-02-19 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-01 | 2017-10-01 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-01 | 2017-10-01 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-06-19 | 2017-07-19 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-19 | 2017-07-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-06-19 | 2017-07-19 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-06-19 | 2017-07-19 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-12-28 | 2017-01-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2016-12-28 | 2017-01-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-12-28 | 2017-01-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-12-28 | 2017-01-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2016-12-28 | 2017-01-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2016-12-28 | 2017-01-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-12-30 | 2017-01-30 | N |
| Maintain comfortable sound levels. | Health | 2016-12-30 | 2017-01-30 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-12-30 | 2017-01-30 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-12-30 | 2017-01-30 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-12-30 | 2017-01-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-30 | 2017-01-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-30 | 2017-01-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-30 | 2017-01-30 | N |
