A list of the most recent deficiencies for Aspire at Lake Mary. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-07 | 2023-05-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-07 | 2023-05-11 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-04-07 | 2023-05-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-07 | 2023-05-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-07 | 2023-05-11 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-04-07 | 2023-05-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-07 | 2023-05-11 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-09 | 2023-01-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-09 | 2023-01-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-12-09 | 2023-01-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-09 | 2023-01-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-12-09 | 2023-01-09 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-02-04 | 2021-03-04 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-02-04 | 2021-03-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-02-04 | 2021-03-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-02-04 | 2021-03-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-23 | 2019-06-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-23 | 2019-06-23 | 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 | 2019-05-23 | 2019-06-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-23 | 2019-06-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-23 | 2019-06-23 | N |
