A list of the most recent deficiencies for Aspen 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? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2023-05-16 | 2023-05-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-16 | 2023-05-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-28 | 2023-05-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-28 | 2023-05-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-28 | 2023-05-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-28 | 2023-05-19 | 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 | 2023-04-28 | 2023-05-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-28 | 2023-05-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-28 | 2023-05-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-28 | 2023-05-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-28 | 2023-05-19 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-04-28 | 2023-05-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-04-28 | 2023-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-28 | 2023-05-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-01 | 2023-03-02 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-30 | 2022-07-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-30 | 2022-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-30 | 2022-07-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-30 | 2022-07-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-06 | 2022-07-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-06-06 | 2022-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-06 | 2022-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-06 | 2022-06-20 | 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 | 2022-06-06 | 2022-06-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-06 | 2022-06-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-06 | 2022-06-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-19 | 2022-06-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-19 | 2022-06-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-22 | 2022-03-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-19 | 2021-11-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-24 | 2021-09-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-03 | 2019-12-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-03 | 2019-12-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-18 | 2019-09-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-18 | 2019-09-27 | 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 | 2019-09-18 | 2019-09-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-18 | 2019-09-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-18 | 2019-09-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-18 | 2019-09-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-18 | 2019-09-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-18 | 2019-09-27 | 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 | 2019-09-18 | 2019-09-27 | N |
