Deficiency Records for Ashton Health and Rehabilitation
Updated as of January 01, 2021
This is not the most recent data for Ashton Health and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Ashton Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-11-12 | 2020-12-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-11-04 | 2020-11-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-06-16 | 2020-06-29 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-06 | 2019-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-06 | 2019-09-27 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-06-27 | 2019-07-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-27 | 2019-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-27 | 2019-07-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-27 | 2019-07-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-27 | 2019-07-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-03 | 2018-12-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-03 | 2018-12-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-03 | 2018-12-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-14 | 2018-10-04 | 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 | 2018-08-14 | 2018-10-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-14 | 2018-10-04 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-14 | 2018-10-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-14 | 2018-10-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-08-14 | 2018-10-04 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-31 | 2018-08-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-07-31 | 2018-08-31 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-06-23 | 2018-08-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-06-23 | 2018-08-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-23 | 2018-08-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-23 | 2018-08-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-23 | 2018-08-14 | 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 | 2018-06-23 | 2018-08-14 | N |
| 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 | 2018-06-23 | 2018-08-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-23 | 2018-08-14 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-06-23 | 2018-08-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-06-23 | 2018-08-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-23 | 2018-08-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-23 | 2018-08-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-23 | 2018-08-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-23 | 2018-08-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-23 | 2018-08-14 | 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 | 2018-06-23 | 2018-08-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-06-23 | 2018-08-14 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-08-24 | 2017-09-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-08-24 | 2017-09-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-24 | 2017-09-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-24 | 2017-09-08 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-13 | 2017-08-07 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-07-13 | 2017-08-07 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-13 | 2017-08-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-13 | 2017-08-07 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-07-13 | 2017-08-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-13 | 2017-08-07 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-07-13 | 2017-08-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-07-13 | 2017-08-07 | N |
