Deficiency Records for Aster Creek Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Aster Creek Nursing 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-09-01 | 2024-01-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-01 | 2024-01-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-01 | 2023-10-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-01 | 2023-10-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-01 | 2023-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-01 | 2023-10-03 | N |
| Dispose of garbage and refuse properly. | Health | 2023-09-01 | 2023-10-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-01 | 2023-10-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-01 | 2023-10-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-09-01 | 2023-09-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-09-01 | 2023-09-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-01 | 2023-09-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-01 | 2023-09-22 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-09-01 | 2023-09-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-09-01 | 2023-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-05 | 2023-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-14 | 2021-07-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-07-19 | 2021-07-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-19 | 2021-07-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-07-19 | 2021-07-20 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-06-14 | 2021-07-20 | 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 | 2021-06-14 | 2021-07-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-14 | 2021-07-20 | 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 | 2021-06-14 | 2021-07-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-14 | 2021-07-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-14 | 2021-07-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-14 | 2021-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-14 | 2021-07-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-14 | 2021-07-14 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-06-14 | 2021-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-14 | 2021-07-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-10 | 2021-06-01 | Y |
| 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 | 2019-08-21 | 2019-09-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-21 | 2019-09-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-21 | 2019-09-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-21 | 2019-09-23 | 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 | 2019-08-21 | 2019-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-21 | 2019-09-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-21 | 2019-09-23 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-21 | 2019-09-23 | N |
