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Deficiency Records for Ascend at Aurora
View the most recent health deficiencies and inspection results for Ascend at Aurora. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Ascend at Aurora. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-12-09 | 2025-11-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-09 | 2025-11-26 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-07-18 | 2025-08-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-22 | 2024-12-05 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-12 | 2024-05-25 | N |
| Use approved construction type or materials. | Fire Safety | 2024-04-12 | 2024-05-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-12 | 2024-05-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-12 | 2024-05-25 | 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 | 2024-04-12 | 2024-05-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-12 | 2024-05-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-12 | 2024-05-25 | 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 | 2024-04-12 | 2024-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-12 | 2024-05-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-04-12 | 2024-05-25 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-04-12 | 2024-05-25 | N |
| 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 | 2024-04-12 | 2024-05-25 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-12 | 2024-05-25 | 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 | 2024-04-12 | 2024-05-25 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-04-12 | 2024-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-12 | 2024-05-25 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-04-12 | 2024-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-12 | 2024-05-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-12 | 2024-05-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-04-12 | 2024-05-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-12 | 2024-05-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-04-12 | 2024-05-25 | 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 | 2024-04-12 | 2024-05-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-12 | 2024-05-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-12 | 2024-05-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-12 | 2024-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-12 | 2024-05-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-22 | 2023-10-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-11 | 2022-08-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-11 | 2022-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-11 | 2022-08-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-11 | 2022-08-09 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-11 | 2022-08-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-11 | 2022-07-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-11 | 2022-07-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-11 | 2022-06-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-11 | 2022-06-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-05-11 | 2022-06-25 | 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 | 2022-05-11 | 2022-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-11 | 2022-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-11 | 2022-06-25 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-05-11 | 2022-06-25 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-05-11 | 2022-06-25 | 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 | 2022-05-11 | 2022-06-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-11 | 2022-06-25 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-05-11 | 2022-06-25 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-05-11 | 2022-06-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-05-11 | 2022-06-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-11 | 2022-06-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-11 | 2022-06-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-05-11 | 2022-06-25 | 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 | 2022-05-11 | 2022-06-25 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-05-11 | 2022-06-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-11 | 2022-06-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-11 | 2022-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-19 | 2019-10-17 | 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 | 2019-08-19 | 2019-10-17 | 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 | 2019-08-19 | 2019-10-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-19 | 2019-10-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-19 | 2019-10-17 | 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 | 2019-08-19 | 2019-10-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-08-19 | 2019-10-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-19 | 2019-10-17 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-19 | 2019-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-19 | 2019-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-11 | Not Fixed | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2026-03-18 | Not Fixed | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-18 | Not Fixed | Y |