A list of the most recent deficiencies for Aftenro Home. 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 safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-25 | 2023-12-19 | 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 | 2023-10-25 | 2023-12-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-25 | 2023-12-19 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-10-25 | 2023-12-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-25 | 2023-12-19 | 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 | 2023-10-30 | 2023-12-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-30 | 2023-12-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-30 | 2023-12-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-30 | 2023-12-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-30 | 2023-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-30 | 2023-12-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-12-01 | 2023-01-20 | N |
| Post nurse staffing information every day. | Health | 2022-12-01 | 2023-01-20 | 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 | 2022-12-01 | 2023-01-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-01 | 2023-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-30 | 2023-01-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-30 | 2023-01-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-30 | 2023-01-20 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-11-30 | 2023-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-23 | 2022-01-24 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-09-27 | 2021-11-04 | 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 | 2021-09-27 | 2021-11-04 | 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 | 2021-09-27 | 2021-11-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-27 | 2021-11-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-27 | 2021-11-04 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-09-27 | 2021-11-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-27 | 2021-11-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-27 | 2021-11-04 | 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 | 2021-09-27 | 2021-11-04 | 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 | 2021-09-27 | 2021-11-04 | 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 | 2021-09-27 | 2021-11-04 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-09-27 | 2021-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-27 | 2021-11-04 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-09-27 | 2021-11-04 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-09-27 | 2021-11-04 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-09-27 | 2021-11-04 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-27 | 2021-11-04 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-23 | 2021-11-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-23 | 2021-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-23 | 2021-11-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-23 | 2021-11-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-23 | 2021-11-04 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-09-23 | 2021-11-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-23 | 2021-11-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-23 | 2021-11-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-23 | 2021-11-04 | N |
