Deficiency Records for Aspire of Estherville
Updated as of November 01, 2021
This is not the most recent data for Aspire of Estherville. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-12-29 | 2021-01-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-23 | 2019-10-05 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-13 | 2019-06-25 | 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 | 2019-05-08 | 2019-06-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-05-08 | 2019-06-04 | 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 | 2019-05-08 | 2019-06-04 | 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 | 2019-05-08 | 2019-06-04 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-05-08 | 2019-06-04 | 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 | 2019-05-08 | 2019-06-04 | 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 | 2019-05-08 | 2019-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-08 | 2019-06-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-05-08 | 2019-06-02 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-05-08 | 2019-06-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-05-13 | 2019-05-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-08 | 2019-05-18 | 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 | 2019-05-13 | 2019-05-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-05-13 | 2019-05-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-13 | 2019-05-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-13 | 2019-05-14 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-08 | 2019-05-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-05-08 | 2019-05-10 | 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 | 2018-02-08 | 2018-03-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-08 | 2018-03-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-08 | 2018-03-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-02-08 | 2018-03-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-02-08 | 2018-03-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-08 | 2018-02-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-02-08 | 2018-02-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-02-08 | 2018-02-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-02-08 | 2018-02-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-02-08 | 2018-02-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-02-08 | 2018-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-08 | 2018-02-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-02-08 | 2018-02-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-02-08 | 2018-02-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-08 | 2018-02-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-02-08 | 2018-02-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-02-08 | 2018-02-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-02-08 | 2018-02-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-02-08 | 2018-02-20 | N |
