Deficiency Records for Ascension Heritage Village
Updated as of February 01, 2019
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 | 2018-09-10 | 2018-10-01 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2018-06-27 | 2018-07-23 | N |
| Be properly staffed | Fire Safety | 2018-06-27 | 2018-07-23 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-06-27 | 2018-07-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-28 | 2018-07-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-28 | 2018-07-22 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-06-28 | 2018-07-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-06-27 | 2018-07-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-06-27 | 2018-07-17 | 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 | 2018-06-27 | 2018-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-27 | 2018-06-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-06-27 | 2018-06-28 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-03-29 | 2018-04-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-29 | 2018-04-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-03-29 | 2018-04-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-03-29 | 2018-04-16 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-03-29 | 2018-03-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-02-05 | 2018-03-02 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-11 | 2017-07-25 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-06-08 | 2017-07-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-06-08 | 2017-07-05 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-08 | 2017-07-05 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-05-11 | 2017-06-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-05-11 | 2017-06-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-11 | 2017-06-07 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-05-11 | 2017-06-07 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-05-11 | 2017-06-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-11 | 2017-06-07 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-05-11 | 2017-06-07 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-05-11 | 2017-06-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-11 | 2017-06-07 | N |
| Keep all essential equipment working safely. | Health | 2017-05-11 | 2017-06-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-05-11 | 2017-05-24 | 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 | 2017-05-11 | 2017-05-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-05-11 | 2017-05-13 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2017-05-11 | 2017-05-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-11 | 2017-05-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-11 | 2017-05-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-05-11 | 2017-05-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-05-11 | 2017-05-12 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-08-19 | 2016-08-19 | Y |
| Properly protected cooking facilities. | Fire Safety | 2016-03-24 | 2016-05-09 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-24 | 2016-04-22 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-03-25 | 2016-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-25 | 2016-04-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-03-25 | 2016-04-22 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-25 | 2016-04-22 | Y |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-03-24 | 2016-04-15 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-03-24 | 2016-04-07 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-03-24 | 2016-04-01 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-03-24 | 2016-03-24 | N |
| The appropriate emergency electrical system. | Fire Safety | 2016-03-24 | 2016-03-24 | N |
