Deficiency Records for Ashford Place Health Campus
Updated as of April 01, 2019
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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-11 | 2019-04-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-11 | 2019-04-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-11 | 2019-04-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-03-11 | 2019-04-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-29 | 2019-02-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-29 | 2019-02-18 | 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 | 2019-01-29 | 2019-02-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-29 | 2019-02-18 | 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 | 2019-01-29 | 2019-02-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-01-29 | 2019-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-29 | 2019-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-29 | 2019-02-18 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-03-09 | 2018-03-19 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2018-02-07 | 2018-02-27 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-02-07 | 2018-02-27 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-02-07 | 2018-02-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-01-11 | 2018-02-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-11 | 2018-02-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-11 | 2018-02-09 | 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 | 2018-01-11 | 2018-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-11 | 2018-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-11 | 2018-02-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-01-11 | 2018-02-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-12-20 | 2017-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-12-20 | 2017-01-12 | 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 | 2016-11-15 | 2016-12-13 | 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 | 2016-11-15 | 2016-12-13 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-11-15 | 2016-12-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-15 | 2016-12-13 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-11-15 | 2016-12-13 | 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 | 2016-11-15 | 2016-12-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-15 | 2016-12-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-15 | 2016-12-13 | N |
