Deficiency Records for Blue Ash Care Center
Updated as of November 01, 2018
This is not the most recent data for Blue Ash Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Blue Ash Care 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-14 | 2018-09-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-08-14 | 2018-09-11 | Y |
| 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 | 2018-08-14 | 2018-09-11 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-04-19 | 2018-06-20 | 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 | 2018-04-19 | 2018-06-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-19 | 2018-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-19 | 2018-06-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-04-19 | 2018-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-19 | 2018-06-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-19 | 2018-06-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-04-19 | 2018-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-19 | 2018-06-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-19 | 2018-06-20 | N |
| Be properly staffed | Fire Safety | 2018-04-19 | 2018-06-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-19 | 2018-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-19 | 2018-06-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-19 | 2018-06-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-19 | 2018-06-20 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2018-04-19 | 2018-06-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-04 | 2018-06-20 | Y |
| 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 | 2018-05-16 | 2018-06-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-16 | 2018-06-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-05-16 | 2018-06-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-10 | 2018-06-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-10 | 2018-06-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-03-15 | 2018-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-23 | 2018-06-20 | Y |
| 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 | 2018-01-23 | 2018-06-20 | 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 | 2018-04-12 | 2018-06-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-12 | 2018-06-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-12 | 2018-06-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-12 | 2018-06-20 | 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 ne | Health | 2018-04-12 | 2018-06-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-12 | 2018-06-20 | 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 | 2018-04-12 | 2018-06-20 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-04-12 | 2018-06-20 | N |
| Provide or obtain dental services for each resident. | Health | 2018-04-12 | 2018-06-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-04-12 | 2018-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-12 | 2018-06-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-15 | 2018-04-12 | 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 | 2018-03-15 | 2018-04-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-15 | 2018-04-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-15 | 2018-04-12 | 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 | 2018-03-15 | 2018-04-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-15 | 2018-04-12 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-03-15 | 2018-04-12 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-01-23 | 2018-04-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-23 | 2018-04-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-10 | 2017-12-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2017-11-29 | 2017-12-23 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2017-11-29 | 2017-12-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2017-11-29 | 2017-12-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-11-02 | 2017-12-23 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-02 | 2017-12-23 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-11-02 | 2017-12-23 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-11-02 | 2017-12-23 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-02 | 2017-12-23 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-08-19 | 2017-09-01 | Y |
| 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 | 2017-08-19 | 2017-09-01 | Y |
| 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 | 2017-08-19 | 2017-09-01 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-08-19 | 2017-09-01 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-19 | 2017-09-01 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-19 | 2017-09-01 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-04-06 | 2017-04-27 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-06 | 2017-04-27 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-02-07 | 2017-03-10 | 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 | 2017-02-07 | 2017-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-07 | 2017-03-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-02-07 | 2017-03-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-07 | 2017-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-02-07 | 2017-03-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-02-07 | 2017-03-10 | 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 | 2017-02-09 | 2017-03-10 | 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 | 2017-02-09 | 2017-03-10 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-02-09 | 2017-03-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-09 | 2017-03-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-09 | 2017-03-10 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-08-19 | 2016-09-20 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-19 | 2016-09-20 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-19 | 2016-09-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-04 | 2016-06-30 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2016-06-04 | 2016-06-30 | Y |
| 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 | 2016-06-04 | 2016-06-30 | Y |
| 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 | 2016-06-04 | 2016-06-30 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-04 | 2016-06-30 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-04-09 | 2016-05-03 | Y |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-11-09 | 2016-01-05 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-18 | 2016-01-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-18 | 2016-01-05 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-11-18 | 2016-01-05 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-11-18 | 2016-01-05 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-11-18 | 2016-01-05 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-11-18 | 2016-01-05 | Y |
