Deficiency Records for Ashford Place Health Campus
Updated as of September 01, 2022
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-23 | 2022-04-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-01-07 | 2021-01-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-14 | 2020-11-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-23 | 2020-10-12 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-03-12 | 2020-05-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-12 | 2020-05-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-12 | 2020-05-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-12 | 2020-05-22 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-01-28 | 2020-02-20 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-01-28 | 2020-02-20 | N |
| Provide activities to meet all resident's needs. | Health | 2020-01-28 | 2020-02-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-28 | 2020-02-20 | 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 | 2020-01-28 | 2020-02-20 | N |
| Provide or obtain dental services for each resident. | Health | 2020-01-28 | 2020-02-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-28 | 2020-02-20 | 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 | 2020-01-28 | 2020-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-28 | 2020-02-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-28 | 2020-02-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-11 | 2019-04-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-11 | 2019-04-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-11 | 2019-04-11 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-03-11 | 2019-04-11 | 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 |
| 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 |
