A list of the most recent deficiencies for Asbury Gardens Nsg and Rehab. 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? |
|---|---|---|---|---|
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-01-26 | 2024-02-15 | N |
| Keep all essential equipment working safely. | Health | 2024-01-26 | 2024-02-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-06 | 2024-02-15 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-02-06 | 2024-02-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-06 | 2024-02-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-06 | 2024-02-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-26 | 2024-02-14 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-01-26 | 2024-02-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-26 | 2024-02-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-01-26 | 2024-02-14 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-01-26 | 2024-02-14 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-01-26 | 2024-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-26 | 2024-02-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-26 | 2024-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-26 | 2023-05-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-21 | 2023-03-28 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-03 | 2023-03-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-03 | 2023-03-28 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-03 | 2023-03-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-03 | 2023-03-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-03 | 2023-03-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-03 | 2023-03-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-03 | 2023-03-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-03 | 2023-03-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-03 | 2023-03-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-03 | 2023-03-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-02 | 2023-02-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-02 | 2023-02-16 | N |
| 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 | 2023-02-02 | 2023-02-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-02 | 2023-02-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-16 | 2021-12-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-16 | 2021-12-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-12-15 | 2021-12-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-12-15 | 2021-12-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-12-15 | 2021-12-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-12-15 | 2021-12-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-15 | 2021-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-15 | 2021-12-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-15 | 2021-12-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-15 | 2021-12-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-15 | 2021-12-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-15 | 2021-12-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-10 | 2021-11-12 | Y |
