Deficiency Records for Ascension Heritage Village
Updated as of October 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 |