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Deficiency Records for Aspire Senior Living Excelsior Springs
View the most recent health deficiencies and inspection results for Aspire Senior Living Excelsior Springs. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Aspire Senior Living Excelsior Springs. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-01-08 | 2026-02-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-01-08 | 2026-02-02 | Y |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2026-01-08 | 2026-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-08 | 2026-02-02 | 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 | 2026-01-08 | 2026-02-02 | 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 | 2026-01-08 | 2026-02-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-08 | 2026-02-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-08 | 2026-02-02 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-01-08 | 2026-02-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2026-01-08 | 2026-02-02 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2026-01-08 | 2026-02-02 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-01-08 | 2026-02-02 | N |
| Use approved construction type or materials. | Fire Safety | 2026-01-08 | 2026-02-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2026-01-08 | 2026-02-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-01-08 | 2026-02-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2026-01-08 | 2026-02-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-08 | 2026-02-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-01-08 | 2026-02-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-01-08 | 2026-02-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-08 | 2026-02-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-01-08 | 2026-02-02 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-12-04 | 2024-12-19 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-25 | 2024-08-08 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-07-25 | 2024-08-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-07-25 | 2024-08-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-25 | 2024-07-30 | 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 | 2024-07-25 | 2024-07-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-07-25 | 2024-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-25 | 2024-07-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-25 | 2024-07-29 | 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 | 2024-07-25 | 2024-07-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-23 | 2022-08-18 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-06-23 | 2022-08-18 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-06-23 | 2022-08-18 | 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 | 2022-06-23 | 2022-08-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-06-23 | 2022-08-18 | 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 | 2022-06-23 | 2022-08-18 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-06-23 | 2022-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-23 | 2022-08-18 | 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 | 2022-06-23 | 2022-08-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-23 | 2022-08-18 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-06-23 | 2022-08-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-06-23 | 2022-08-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-06-23 | 2022-08-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-23 | 2022-08-18 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-23 | 2022-08-18 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-06-23 | 2022-08-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-23 | 2022-08-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-23 | 2022-08-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-23 | 2022-08-18 | 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 | 2022-06-23 | 2022-08-18 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-23 | 2022-08-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-25 | Not Fixed | N |