CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Ashley Manor Health and Rehabilitation
View the most recent health deficiencies and inspection results for Ashley Manor Health and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Ashley Manor Health and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-01-15 | 2025-02-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-15 | 2025-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-15 | 2025-02-21 | 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 | 2025-01-15 | 2025-02-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-01-15 | 2025-02-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-15 | 2025-02-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2025-01-15 | 2025-02-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-15 | 2025-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-15 | 2025-02-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-01-15 | 2025-02-21 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-11-09 | 2023-12-15 | 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 | 2023-11-09 | 2023-12-15 | 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 | 2023-11-09 | 2023-12-15 | 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 | 2023-11-09 | 2023-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2023-12-15 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-09 | 2023-12-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-09 | 2023-12-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-09 | 2023-12-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-11-09 | 2023-12-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-09 | 2023-12-15 | 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 | 2023-11-09 | 2023-12-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-09 | 2023-12-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-11-09 | 2023-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-09 | 2023-12-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-09 | 2023-12-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-09 | 2023-12-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-09 | 2023-12-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-09 | 2023-12-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-09 | 2023-12-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-09 | 2023-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-09 | 2023-12-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-09 | 2023-12-15 | 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 | 2023-11-09 | 2023-12-15 | N |
| Use approved construction type or materials. | Fire Safety | 2023-11-09 | 2023-12-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-09 | 2023-12-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-09 | 2023-12-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-24 | 2022-07-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-24 | 2022-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-24 | 2022-07-22 | 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 | 2022-06-24 | 2022-07-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-24 | 2022-07-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-24 | 2022-07-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-24 | 2022-07-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-06-24 | 2022-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-24 | 2022-07-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-24 | 2022-07-22 | N |