Deficiency Records for Ashbrook Care and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Ashbrook Care and Rehabilitation Center. 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? |
---|---|---|---|---|
Install an approved automatic sprinkler system. | Fire Safety | 2023-02-06 | 2023-03-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-06 | 2023-03-20 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-06 | 2023-03-03 | 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 | 2023-02-06 | 2023-02-15 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-06 | 2023-02-15 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-02-06 | 2023-02-15 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-06 | 2023-02-14 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-06 | 2023-02-13 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-06 | 2023-02-07 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-02-06 | 2023-02-07 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-06 | 2023-02-07 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-06 | 2023-02-07 | N |
Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-02-06 | 2023-02-07 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-06 | 2023-02-07 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-11-06 | 2020-11-24 | 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 | 2020-11-06 | 2020-11-24 | 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 | 2020-11-06 | 2020-11-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-11-06 | 2020-11-24 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-05-16 | 2019-07-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-16 | 2019-07-12 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-16 | 2019-07-12 | 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 | 2019-05-16 | 2019-07-12 | N |
Provide and implement an infection prevention and control program. | Health | 2019-05-16 | 2019-07-12 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-16 | 2019-07-12 | N |