Deficiency Records for Pelican Health at Asheville
Updated as of August 01, 2020
This is not the most recent data for Pelican Health at Asheville. For the most recent information, click here.
A list of the most recent deficiencies for Pelican Health at Asheville. 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? |
|---|---|---|---|---|
| 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 | 2019-12-06 | 2020-01-16 | 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 | 2019-12-06 | 2020-01-16 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2019-12-06 | 2020-01-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-08 | 2020-01-16 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-11-08 | 2020-01-16 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-11-08 | 2020-01-16 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-11-08 | 2020-01-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2019-11-08 | 2020-01-16 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-11-08 | 2020-01-16 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-08 | 2020-01-16 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-08 | 2020-01-16 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-11-08 | 2020-01-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-08 | 2020-01-16 | Y |
| 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 | 2019-11-08 | 2020-01-16 | Y |
| 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 | 2019-11-08 | 2020-01-16 | Y |
| Dispose of garbage and refuse properly. | Health | 2019-11-08 | 2020-01-16 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-10 | 2019-12-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-10 | 2019-12-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-10 | 2019-12-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-08 | 2019-12-05 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-11-08 | 2019-12-05 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-11-29 | 2018-12-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-29 | 2018-12-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-29 | 2018-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-29 | 2018-12-27 | 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 | 2018-11-29 | 2018-12-27 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-11-29 | 2018-12-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-06-29 | 2018-06-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-29 | 2018-06-30 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-05-23 | 2018-05-24 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-11-02 | 2017-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-02 | 2017-12-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-11-02 | 2017-12-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-11-02 | 2017-12-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-27 | 2017-11-22 | N |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2017-10-27 | 2017-11-21 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-27 | 2017-11-21 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-10-27 | 2017-11-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-27 | 2017-11-21 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2017-09-26 | 2017-09-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-04 | 2017-09-26 | Y |
