Deficiency Records for Aftenro Home
Updated as of May 01, 2018
This is not the most recent data for Aftenro Home. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-02-07 | 2018-04-16 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-02-07 | 2018-03-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-02-07 | 2018-03-31 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-02-08 | 2018-03-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-08 | 2018-03-23 | 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 ne | Health | 2018-02-08 | 2018-03-23 | 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 | 2018-02-08 | 2018-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-08 | 2018-03-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-02-08 | 2018-03-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-02-08 | 2018-03-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-02-08 | 2018-03-20 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-02-08 | 2018-03-20 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-02-08 | 2018-03-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-02-08 | 2018-03-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-07 | 2018-03-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-02-08 | 2018-03-20 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-27 | 2017-06-23 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-04-27 | 2017-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-27 | 2017-06-23 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-04-27 | 2017-06-23 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-27 | 2017-06-16 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-27 | 2017-06-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-04-27 | 2017-06-16 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-04-27 | 2017-06-15 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-04-27 | 2017-06-06 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-03-15 | 2016-05-26 | N |
| A written emergency evacuation plan. | Fire Safety | 2016-03-15 | 2016-05-13 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-03-15 | 2016-05-13 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-15 | 2016-05-06 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-03-15 | 2016-05-02 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-03-15 | 2016-05-02 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-03-15 | 2016-04-29 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-03-15 | 2016-04-29 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-03-15 | 2016-04-25 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2016-03-15 | 2016-04-25 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2016-03-15 | 2016-04-25 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-03-18 | 2016-04-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-03-18 | 2016-04-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-18 | 2016-04-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-18 | 2016-04-25 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-18 | 2016-04-25 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-03-18 | 2016-04-25 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-03-18 | 2016-04-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-03-18 | 2016-04-25 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-03-18 | 2016-04-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-18 | 2016-04-25 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-03-18 | 2016-04-25 | N |
| Portable fire extinguishers. | Fire Safety | 2016-03-15 | 2016-04-15 | N |
