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Deficiency Records for Aurora Health and Rehabilitation
View the most recent health deficiencies and inspection results for Aurora Health and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Aurora Health and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-12-10 | 2025-12-30 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-10 | 2025-12-30 | 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 | 2025-12-10 | 2025-12-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-11-19 | 2025-12-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-11-19 | 2025-12-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-11-19 | 2025-12-04 | 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 | 2025-11-19 | 2025-12-04 | Y |
| 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 | 2025-11-19 | 2025-12-04 | Y |
| 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 | 2025-11-19 | 2025-12-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-11-19 | 2025-12-04 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-07-02 | 2025-07-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-20 | 2025-04-11 | 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 | 2025-03-20 | 2025-04-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-20 | 2025-04-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-17 | 2024-11-07 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-10-17 | 2024-11-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-16 | 2024-08-08 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-06-28 | 2024-08-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-28 | 2024-08-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-28 | 2024-08-07 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-06-28 | 2024-08-07 | N |
| Post nurse staffing information every day. | Health | 2024-06-28 | 2024-08-07 | 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 | 2024-06-28 | 2024-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-28 | 2024-08-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-28 | 2024-08-07 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-28 | 2024-08-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-28 | 2024-08-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-06-28 | 2024-08-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-28 | 2024-08-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-28 | 2024-08-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-28 | 2024-08-07 | N |
| Respond appropriately to all alleged violations. | Health | 2024-01-25 | 2024-03-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-25 | 2024-03-21 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-02-22 | 2024-03-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-22 | 2024-03-16 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-31 | 2023-11-13 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2023-08-31 | 2023-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-31 | 2023-11-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-31 | 2023-11-13 | 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 | 2023-10-20 | 2023-11-13 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-31 | 2023-11-13 | 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 | 2023-08-31 | 2023-11-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-31 | 2023-11-13 | 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 | 2023-08-31 | 2023-11-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-31 | 2023-11-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-31 | 2023-10-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-31 | 2023-10-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-31 | 2023-10-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-31 | 2023-10-09 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-08-31 | 2023-10-09 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-08-31 | 2023-10-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-31 | 2023-10-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-31 | 2023-10-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-31 | 2023-10-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-31 | 2023-10-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-31 | 2023-10-09 | 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 | 2023-08-31 | 2023-10-09 | N |
| Meet other general requirements. | Fire Safety | 2023-08-31 | 2023-10-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-31 | 2023-10-09 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-08-31 | 2023-10-09 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-08-31 | 2023-09-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-31 | 2023-09-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-08-31 | 2023-09-29 | N |
| Dispose of garbage and refuse properly. | Health | 2023-08-31 | 2023-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-31 | 2023-09-29 | 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 | 2023-08-31 | 2023-09-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-31 | 2023-09-29 | N |
| Provide activities to meet all resident's needs. | Health | 2023-08-31 | 2023-09-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-31 | 2023-09-29 | 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 | 2023-08-31 | 2023-09-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-31 | 2023-09-29 | 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 | 2023-08-31 | 2023-09-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-31 | 2023-09-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-06 | 2023-08-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-06 | 2023-08-11 | Y |