Deficiency Records for Ascension Heritage Village
Updated as of November 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 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 ne | 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 |
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 |