A list of the most recent deficiencies for Asbury Court Nursing 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-29 | 2023-08-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-06-29 | 2023-08-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-06-29 | 2023-07-21 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-06-29 | 2023-07-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-29 | 2023-07-21 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-06-29 | 2023-07-21 | 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 | 2023-06-29 | 2023-07-21 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-06-29 | 2023-07-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-29 | 2023-07-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-06-29 | 2023-07-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-29 | 2023-07-21 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-06-29 | 2023-07-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-29 | 2023-07-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-29 | 2023-07-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-06-23 | 2023-07-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-23 | 2023-07-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-06-23 | 2023-07-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-23 | 2023-07-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-23 | 2023-07-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-23 | 2023-07-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-23 | 2023-07-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-23 | 2023-07-14 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-06-23 | 2023-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-23 | 2023-07-14 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-07-14 | 2022-08-27 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-07-14 | 2022-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-08-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-14 | 2022-08-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-26 | 2022-08-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-26 | 2022-08-10 | 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 | 2022-07-26 | 2022-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-26 | 2022-08-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-26 | 2022-08-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-26 | 2022-08-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-14 | 2022-08-08 | Y |
| Provide appropriate foot care. | Health | 2021-10-26 | 2021-11-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-26 | 2021-11-06 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-08-02 | 2021-08-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-08-02 | 2021-08-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-08-02 | 2021-08-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-23 | 2021-08-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-23 | 2021-08-03 | 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 | 2021-07-23 | 2021-08-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-23 | 2021-08-03 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-07-23 | 2021-08-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-23 | 2021-08-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-24 | 2021-06-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-24 | 2021-06-25 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-04-22 | 2021-05-12 | Y |
