Deficiency Records for Aspire of Estherville
Updated as of July 01, 2023
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? |
---|---|---|---|---|
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 |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-12-29 | 2021-01-07 | 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 |