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 |