CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Aspen Point Health and Rehabilitation
View the most recent health deficiencies and inspection results for Aspen Point Health and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Aspen Point Health and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-02-11 | 2026-02-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-02-11 | 2026-02-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-11 | 2026-02-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-08-14 | 2025-09-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-14 | 2025-09-10 | N |
| Meet other general requirements. | Fire Safety | 2025-08-14 | 2025-09-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-08-14 | 2025-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-14 | 2025-09-10 | 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 | 2025-08-14 | 2025-09-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-02-27 | 2025-03-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-27 | 2025-03-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-27 | 2025-03-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-27 | 2025-03-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-02-27 | 2025-03-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-02-27 | 2025-03-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-27 | 2025-03-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-02-27 | 2025-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-27 | 2025-03-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-27 | 2025-03-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-02-27 | 2025-03-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-02-27 | 2025-03-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-09 | 2024-12-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-12-09 | 2024-12-12 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-29 | 2024-10-12 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-08-29 | 2024-10-12 | Y |
| Keep all essential equipment working safely. | Health | 2024-08-29 | 2024-10-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-29 | 2024-10-12 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-08-29 | 2024-10-12 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-29 | 2024-10-12 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-29 | 2024-10-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-29 | 2024-10-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-29 | 2024-10-12 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-08-29 | 2024-10-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-29 | 2024-10-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-08-29 | 2024-10-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-29 | 2024-10-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-29 | 2024-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-29 | 2024-10-12 | N |
| Respond appropriately to all alleged violations. | Health | 2024-08-29 | 2024-10-12 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-29 | 2024-10-12 | 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 | 2024-08-29 | 2024-10-12 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-08-29 | 2024-10-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-08-29 | 2024-10-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-05 | 2024-07-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-23 | 2024-07-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-23 | 2024-07-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-23 | 2024-07-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-17 | 2024-07-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-17 | 2024-07-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-17 | 2024-07-30 | Y |
| 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 | 2024-04-17 | 2024-05-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-04-17 | 2024-05-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-02 | 2024-05-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-02-23 | 2024-05-14 | Y |
| 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 | 2024-02-23 | 2024-05-14 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-02-23 | 2024-05-14 | Y |
| 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 | 2024-04-17 | 2024-05-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-23 | 2024-03-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-23 | 2024-03-25 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-02-23 | 2024-03-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-18 | 2024-02-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-15 | 2024-02-01 | Y |
| 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 | 2023-12-14 | 2024-01-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-14 | 2024-01-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-14 | 2024-01-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-14 | 2024-01-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2023-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-15 | 2023-12-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-15 | 2023-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-15 | 2023-12-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-15 | 2023-12-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-09 | 2023-12-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-09 | 2023-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-12 | 2023-12-08 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-12-04 | 2023-11-10 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-10-12 | 2023-10-30 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-12 | 2023-10-30 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-10-12 | 2023-10-30 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-10-12 | 2023-10-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-12 | 2023-10-30 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-10-12 | 2023-10-30 | Y |
| 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 | 2023-10-12 | 2023-10-30 | Y |
| Implement a program that monitors antibiotic use. | Health | 2023-10-12 | 2023-10-30 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-10-12 | 2023-10-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-12 | 2023-10-30 | Y |
| 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 | 2023-10-12 | 2023-10-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-15 | 2023-09-19 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2023-08-15 | 2023-09-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-15 | 2023-09-19 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-15 | 2023-09-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-15 | 2023-09-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-15 | 2023-09-19 | Y |
| 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 | 2023-05-12 | 2023-06-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-12 | 2023-06-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-12 | 2023-06-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-12 | 2023-06-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-12 | 2023-06-08 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-05-12 | 2023-06-08 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-02-27 | Not Fixed | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-02-27 | Not Fixed | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-02-27 | Not Fixed | 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 | 2025-02-27 | Not Fixed | N |