Deficiency Records for Asbury Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Asbury Health 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-06-28 | 2023-09-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-28 | 2023-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-28 | 2023-09-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-28 | 2023-09-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-28 | 2023-09-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-28 | 2023-09-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-28 | 2023-09-21 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-06-08 | 2023-07-05 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-08 | 2023-07-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-08 | 2023-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-08 | 2023-07-05 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-06-08 | 2023-07-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-07-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-06-08 | 2023-07-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-03-16 | 2022-04-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-16 | 2022-04-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-16 | 2022-04-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-16 | 2022-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-16 | 2022-04-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-17 | 2022-04-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-02-17 | 2022-04-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-17 | 2022-04-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-17 | 2022-04-01 | 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 | 2022-02-17 | 2022-04-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-01-02 | 2020-02-01 | 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 | 2020-01-02 | 2020-02-01 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2020-01-02 | 2020-02-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-02 | 2020-02-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-06 | 2020-01-02 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-12-06 | 2020-01-02 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-12-06 | 2020-01-02 | N |
| Provide activities to meet all resident's needs. | Health | 2019-12-06 | 2020-01-02 | N |
| Post nurse staffing information every day. | Health | 2019-12-06 | 2020-01-02 | N |
