A list of the most recent deficiencies for Aria Nursing and Rehab. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-08 | 2023-11-16 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-10 | 2023-11-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-26 | 2023-07-11 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-26 | 2023-07-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-26 | 2023-07-11 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-26 | 2023-07-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-26 | 2023-07-11 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-11 | 2023-02-24 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-17 | 2023-02-10 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-01-17 | 2023-02-10 | 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 | 2023-01-17 | 2023-02-10 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-01-17 | 2023-02-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-17 | 2023-02-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-17 | 2023-02-10 | N |
| Respond appropriately to all alleged violations. | Health | 2023-01-17 | 2023-02-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-17 | 2023-02-10 | 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 | 2023-01-17 | 2023-02-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-17 | 2023-02-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-17 | 2023-02-10 | 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 | 2023-01-17 | 2023-02-10 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-01-17 | 2023-02-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-01-17 | 2023-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-17 | 2023-02-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-17 | 2023-02-10 | 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 | 2023-01-17 | 2023-02-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-01-17 | 2023-02-10 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-01-17 | 2023-02-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-17 | 2023-02-10 | 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 | 2023-01-17 | 2023-02-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-17 | 2023-02-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-11 | 2023-02-10 | 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 | 2022-11-09 | 2022-11-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-09 | 2022-09-23 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-01-11 | 2022-02-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-11 | 2022-02-04 | 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 | 2022-01-11 | 2022-02-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-11 | 2022-02-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-11 | 2022-02-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-11 | 2022-02-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-11 | 2022-02-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-11 | 2022-02-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-11 | 2022-02-04 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-01-06 | 2022-02-04 | 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 | 2022-01-06 | 2022-02-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-06 | 2022-02-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-06 | 2022-02-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-10 | 2019-12-10 | 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 | 2019-10-10 | 2019-12-10 | 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 | 2019-10-10 | 2019-12-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-10-10 | 2019-11-14 | 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 | 2019-10-10 | 2019-11-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-10-10 | 2019-11-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-10-10 | 2019-11-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-10-10 | 2019-11-14 | 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 | 2019-10-10 | 2019-11-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-10 | 2019-11-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-10 | 2019-11-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-10 | 2019-11-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-10 | 2019-11-14 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-10-10 | 2019-11-14 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-10-10 | 2019-11-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-10 | 2019-11-14 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-10-07 | 2019-11-04 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-10-07 | 2019-11-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-07 | 2019-11-04 | N |
