Deficiency Records for Aspire On Evans
Updated as of February 01, 2020
This is not the most recent data for Aspire On Evans. For the most recent information, click here.
A list of the most recent deficiencies for Aspire On Evans. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-23 | 2019-11-01 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-07-23 | 2019-11-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-11 | 2019-10-28 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-10-11 | 2019-10-28 | Y |
| Provide primary/alternate means for communication. | Fire Safety | 2019-07-23 | 2019-08-25 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-07-23 | 2019-08-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-23 | 2019-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-23 | 2019-08-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-23 | 2019-08-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-23 | 2019-08-25 | N |
| Be properly staffed | Fire Safety | 2019-07-23 | 2019-08-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-23 | 2019-08-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-23 | 2019-08-25 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-07-23 | 2019-08-25 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-07-25 | 2019-08-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-25 | 2019-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-25 | 2019-08-25 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-25 | 2019-08-25 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2019-07-25 | 2019-08-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-25 | 2019-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-25 | 2019-08-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-25 | 2019-08-25 | 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 | 2019-07-25 | 2019-08-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-11 | 2019-07-03 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-06-11 | 2019-07-03 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-07-30 | 2018-10-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-09 | 2018-10-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-08 | 2018-09-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-08-08 | 2018-09-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-08-08 | 2018-09-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-08 | 2018-09-09 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-08-09 | 2018-09-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-09 | 2018-09-09 | 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 | 2018-08-09 | 2018-09-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-09 | 2018-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-09 | 2018-09-09 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-10-26 | 2017-11-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-10-26 | 2017-11-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-24 | 2017-11-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-10-24 | 2017-11-22 | N |
