Deficiency Records for Aspire at Seminole
Updated as of August 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 |