A list of the most recent deficiencies for Aspire at Jacksonville. 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? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-13 | 2024-01-12 | 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 | 2023-12-13 | 2024-01-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-13 | 2024-01-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-13 | 2024-01-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-13 | 2024-01-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-13 | 2024-01-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-13 | 2024-01-09 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-10-10 | 2023-11-06 | Y |
| 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 | 2023-06-14 | 2023-07-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-02 | 2022-09-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-17 | 2022-03-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-02-17 | 2022-03-22 | 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 | 2022-02-17 | 2022-03-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-17 | 2022-03-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-02-17 | 2022-03-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-17 | 2022-03-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-17 | 2022-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-17 | 2022-03-22 | 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 | 2022-02-17 | 2022-03-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-05 | 2020-04-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-03-05 | 2020-04-07 | 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 | 2020-03-05 | 2020-04-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-05 | 2020-04-07 | 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 | 2020-03-05 | 2020-04-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-05 | 2020-04-07 | 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 necessary and PRN use is limited. | Health | 2020-03-05 | 2020-04-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-05 | 2020-04-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-03-05 | 2020-04-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-03 | 2020-04-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-03-03 | 2020-04-07 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-03-03 | 2020-04-07 | N |
