Deficiency Records for Aspire Senior Living Jonesburg

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Updated as of April 01, 2024

A list of the most recent deficiencies for Aspire Senior Living Jonesburg. 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?
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2023-07-14 2023-08-26 N
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Health 2023-07-14 2023-08-26 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-07-14 2023-08-26 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 2023-07-14 2023-08-26 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-07-14 2023-08-26 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-07-14 2023-08-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-14 2023-08-26 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-07-14 2023-08-26 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-07-14 2023-08-26 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 2023-07-14 2023-08-26 N
Provide and implement an infection prevention and control program. Health 2023-07-14 2023-08-26 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-07-14 2023-08-26 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-07-14 2023-08-26 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-07-14 2023-08-26 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-07-14 2023-08-26 N
Provide properly protected cooking facilities. Fire Safety 2023-07-14 2023-08-26 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-07-14 2023-08-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-07-14 2023-08-26 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-07-14 2023-08-26 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-07-14 2023-08-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-07-14 2023-08-26 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-07-14 2023-08-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-07-14 2023-08-26 N
Have proper medical gas storage and administration areas. Fire Safety 2023-07-14 2023-08-26 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-06-23 2022-07-05 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 2022-03-01 2022-04-15 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-03-01 2022-04-15 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2022-03-01 2022-04-15 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-03-01 2022-04-15 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 2022-03-01 2022-04-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-01 2022-04-15 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-03-01 2022-04-15 N
Provide activities to meet all resident's needs. Health 2022-03-01 2022-04-15 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 2022-03-01 2022-04-15 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 2022-03-01 2022-04-15 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 2022-03-01 2022-04-15 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 2022-03-01 2022-04-15 N
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 2022-03-01 2022-04-15 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-03-01 2022-04-15 N
Provide and implement an infection prevention and control program. Health 2022-03-01 2022-04-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-01 2022-04-15 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 2022-03-01 2022-04-15 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-01 2022-04-15 Y
Establish staff and initial training requirements. Fire Safety 2022-03-01 2022-04-15 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-03-01 2022-04-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-03-01 2022-04-15 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 2022-03-01 2022-04-15 N
Provide properly protected cooking facilities. Fire Safety 2022-03-01 2022-04-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-03-01 2022-04-15 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-03-01 2022-04-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-03-01 2022-04-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-03-01 2022-04-15 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-03-01 2022-04-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-03-01 2022-04-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-03-01 2022-04-15 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2022-03-01 2022-04-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-03-07 2019-04-21 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2019-03-07 2019-04-21 N
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. Health 2019-03-07 2019-04-21 N
Keep residents' personal and medical records private and confidential. Health 2019-03-07 2019-04-21 N
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. Health 2019-03-07 2019-04-21 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-03-07 2019-04-21 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2019-03-07 2019-04-21 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2019-03-07 2019-04-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-03-07 2019-04-21 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 2019-03-07 2019-04-21 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-03-07 2019-04-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-03-07 2019-04-21 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 2019-03-07 2019-04-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-03-07 2019-04-21 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 2019-03-07 2019-04-21 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-03-07 2019-04-21 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 2019-03-07 2019-04-21 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 2019-03-07 2019-04-21 N
Provide and implement an infection prevention and control program. Health 2019-03-07 2019-04-21 N
Conduct testing and exercise requirements. Fire Safety 2019-03-07 2019-04-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-03-07 2019-04-21 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-03-07 2019-04-21 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-03-07 2019-04-21 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2019-03-07 2019-04-21 N