Deficiency Records for Ashford Place Health Campus
Updated as of October 01, 2016
This is not the most recent data for Ashford Place Health Campus. For the most recent information, click here.
A list of the most recent deficiencies for Ashford Place Health Campus. 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? |
|---|---|---|---|---|
| A two-hour-resistant firewall separation. | Fire Safety | 2015-10-08 | 2015-11-09 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-10-08 | 2015-11-09 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-10-08 | 2015-11-09 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-10-08 | 2015-11-09 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-10-08 | 2015-11-09 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-10-08 | 2015-11-09 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-09-17 | 2015-10-17 | N |
| 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 | 2015-09-17 | 2015-10-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-09-17 | 2015-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-09-17 | 2015-10-17 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-09-17 | 2015-10-17 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-09-17 | 2015-10-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-09-17 | 2015-10-17 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-09-17 | 2015-10-17 | N |
| 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 | 2015-09-17 | 2015-10-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-09-17 | 2015-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-09-17 | 2015-10-17 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-09-17 | 2015-10-17 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-09-17 | 2015-10-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-09-17 | 2015-10-17 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-06-02 | 2015-07-02 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-06-02 | 2015-07-02 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-02-18 | 2015-03-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-02-18 | 2015-03-20 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-02-18 | 2015-03-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-02-18 | 2015-03-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-08-14 | 2014-09-13 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-08-14 | 2014-09-13 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-08-14 | 2014-09-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-08-14 | 2014-09-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-08-14 | 2014-09-13 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-08-14 | 2014-09-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-08-14 | 2014-09-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-08-14 | 2014-09-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-08-14 | 2014-09-13 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-08-14 | 2014-09-13 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-08-14 | 2014-09-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-08-14 | 2014-09-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-08-14 | 2014-09-13 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-08-14 | 2014-09-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-08-14 | 2014-09-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-08-14 | 2014-09-13 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-08-25 | 2014-09-09 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-08-25 | 2014-09-09 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-08-25 | 2014-09-09 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-08-25 | 2014-09-09 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-08-25 | 2014-09-09 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-08-25 | 2014-09-09 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| Exits that are accessible at all times. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| Proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| Exits that are accessible at all times. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| Proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2013-06-03 | 2013-07-03 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-05-22 | 2013-06-21 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-05-22 | 2013-06-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-05-22 | 2013-06-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-05-22 | 2013-06-21 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-05-22 | 2013-06-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-05-22 | 2013-06-21 | N |
