A list of the most recent deficiencies for Aspire of Estherville. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-10-05 | 2023-12-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-05 | 2023-12-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-05 | 2023-12-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-05 | 2023-12-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-05 | 2023-12-07 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-10-05 | 2023-12-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-10-05 | 2023-12-07 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-10-05 | 2023-12-07 | 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 | 2023-10-10 | 2023-10-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-10 | 2023-10-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-10-10 | 2023-10-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-10 | 2023-10-10 | N |
| Respond appropriately to all alleged violations. | Health | 2023-08-31 | 2023-09-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-06 | 2023-04-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-06 | 2023-04-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-06 | 2023-04-06 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-03-06 | 2023-04-06 | Y |
| Install proper backup exit lighting. | Fire Safety | 2022-08-10 | 2022-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-10 | 2022-09-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-10 | 2022-09-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-10 | 2022-09-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-10 | 2022-09-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-10 | 2022-09-30 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-08-16 | 2022-09-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-16 | 2022-09-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-16 | 2022-09-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-16 | 2022-09-16 | 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 | 2022-08-16 | 2022-09-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-08-16 | 2022-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-16 | 2022-09-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-16 | 2022-09-16 | N |
| Provide activities to meet all resident's needs. | Health | 2022-08-16 | 2022-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-16 | 2022-09-16 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-08-16 | 2022-09-16 | 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 | 2022-08-16 | 2022-09-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-08-16 | 2022-09-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-08-16 | 2022-09-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-16 | 2022-09-16 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-08-16 | 2022-09-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-16 | 2022-09-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-16 | 2022-08-31 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-10 | 2022-08-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-10 | 2022-08-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-10 | 2022-08-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-10 | 2022-08-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-10 | 2022-08-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-03 | 2021-06-28 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-06-02 | 2021-06-17 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-06-02 | 2021-06-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-06-02 | 2021-06-17 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-06-02 | 2021-06-17 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-06-02 | 2021-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-02 | 2021-06-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-06-02 | 2021-06-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-02 | 2021-06-17 | Y |
| 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 | 2021-06-02 | 2021-06-17 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-03 | 2021-06-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-03 | 2021-06-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-03 | 2021-06-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-03 | 2021-06-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-03 | 2021-06-08 | N |
