A list of the most recent deficiencies for Ascension Heritage Village. 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 | 2023-11-20 | 2023-12-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-20 | 2023-12-09 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-11-20 | 2023-12-09 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-03-31 | 2023-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-31 | 2023-04-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-05 | 2023-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-05 | 2023-04-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-05 | 2023-04-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-03 | 2022-12-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-16 | 2022-01-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-12-16 | 2022-01-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-15 | 2021-12-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-15 | 2021-12-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-12-15 | 2021-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-07 | 2021-09-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-11-04 | 2020-11-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-11-04 | 2020-11-16 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-11-04 | 2020-11-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-11-04 | 2020-11-16 | 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 | 2020-11-04 | 2020-11-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-11-04 | 2020-11-05 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2020-11-04 | 2020-11-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-11-04 | 2020-11-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-11-04 | 2020-11-04 | N |
