Deficiency Records for Ascension Heritage Village
Updated as of September 01, 2022
This is not the most recent data for Ascension Heritage Village. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2020-11-25 | 2020-12-10 | 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 |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-11 | 2019-06-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-11 | 2019-06-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-11 | 2019-06-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-11 | 2019-06-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-06-11 | 2019-06-24 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-06-11 | 2019-06-20 | 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 | 2019-06-11 | 2019-06-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-11 | 2019-06-20 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-06-11 | 2019-06-20 | 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 | 2019-05-30 | 2019-06-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-05-30 | 2019-06-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-11 | 2019-06-12 | N |
