A list of the most recent deficiencies for Aspire Senior Living East Prairie. 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? |
|---|---|---|---|---|
| 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 | 2023-03-09 | 2023-04-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-09 | 2023-04-21 | 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 | 2023-03-09 | 2023-04-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-03-09 | 2023-04-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-09 | 2023-04-21 | 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 | 2023-03-09 | 2023-04-21 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-03-09 | 2023-04-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-09 | 2023-04-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-09 | 2023-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-09 | 2023-04-21 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-09 | 2023-04-21 | 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 and emergencies. | Health | 2023-03-09 | 2023-04-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-09 | 2023-04-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-09 | 2023-04-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-09 | 2023-04-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-09 | 2023-04-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-09 | 2023-04-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-21 | 2022-08-16 | Y |
| 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 | 2021-07-29 | 2021-09-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-29 | 2021-09-08 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-07-29 | 2021-09-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-29 | 2021-09-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-07-29 | 2021-09-08 | 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 | 2021-07-29 | 2021-09-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-07-29 | 2021-09-08 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-07-29 | 2021-09-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-29 | 2021-09-08 | N |
| Use approved construction type or materials. | Fire Safety | 2021-07-29 | 2021-09-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-29 | 2021-09-08 | 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 | 2021-07-29 | 2021-09-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-29 | 2021-09-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-29 | 2021-09-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-29 | 2021-09-08 | N |
| Have an externally vented heating system. | Fire Safety | 2021-07-29 | 2021-09-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-29 | 2021-09-08 | 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 | 2019-11-13 | 2019-12-27 | 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 | 2019-11-13 | 2019-12-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-13 | 2019-12-27 | 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 | 2019-11-13 | 2019-12-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-13 | 2019-12-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-13 | 2019-12-27 | 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 | 2019-11-13 | 2019-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-13 | 2019-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-13 | 2019-12-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-11-13 | 2019-12-27 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-11-13 | 2019-12-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-13 | 2019-12-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-11-13 | 2019-12-27 | 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 | 2019-11-13 | 2019-12-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-13 | 2019-12-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-13 | 2019-12-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-13 | 2019-12-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-13 | 2019-12-27 | N |
