Deficiency Records for Ayden Court Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Ayden Court 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-19 | 2024-01-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-19 | 2024-01-18 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-11-16 | 2023-12-22 | N |
| 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 | 2023-11-16 | 2023-12-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-16 | 2023-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-16 | 2023-12-22 | 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 | 2023-11-16 | 2023-12-22 | 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 | 2023-11-16 | 2023-12-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-16 | 2023-12-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-12-22 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-16 | 2023-12-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-28 | 2023-02-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-28 | 2023-02-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-13 | 2022-11-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-13 | 2022-11-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-25 | 2022-11-08 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-21 | 2022-10-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-21 | 2022-10-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-25 | 2022-10-13 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-08-25 | 2022-10-13 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-08-25 | 2022-10-13 | 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 | 2022-08-25 | 2022-10-13 | 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 | 2022-08-25 | 2022-10-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-25 | 2022-10-13 | 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 | 2022-08-25 | 2022-10-13 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-08-25 | 2022-10-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-25 | 2022-10-13 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-25 | 2022-10-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-25 | 2022-10-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-25 | 2022-09-26 | Y |
| Post nurse staffing information every day. | Health | 2022-08-25 | 2022-09-26 | 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 | 2022-03-16 | 2022-04-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-05 | 2021-04-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-05 | 2021-04-12 | N |
| Post nurse staffing information every day. | Health | 2021-03-05 | 2021-04-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-05 | 2021-03-18 | N |
