Deficiency Records for Blue Ash Care Center
Updated as of August 01, 2022
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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-23 | 2022-07-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-23 | 2022-06-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-23 | 2022-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-23 | 2022-06-30 | N |
| 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 | 2022-03-29 | 2022-05-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-29 | 2022-05-25 | N |
| Respond appropriately to all alleged violations. | Health | 2022-03-29 | 2022-05-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-29 | 2022-05-25 | 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 | 2022-03-29 | 2022-05-25 | 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 | 2022-03-29 | 2022-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-29 | 2022-05-25 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-03-29 | 2022-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-29 | 2022-05-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-29 | 2022-05-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-29 | 2022-05-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-29 | 2022-05-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-23 | 2022-05-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-03-23 | 2022-05-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-23 | 2022-05-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-23 | 2022-05-25 | 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 | 2022-03-23 | 2022-05-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-23 | 2022-05-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-23 | 2022-05-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-23 | 2022-05-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-23 | 2022-05-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-23 | 2022-05-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-23 | 2022-05-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-23 | 2022-05-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-23 | 2022-05-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-23 | 2022-05-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-03-29 | 2022-05-02 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-03-29 | 2022-05-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-23 | 2022-05-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-23 | 2022-05-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-12 | 2022-02-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-12 | 2022-02-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-12 | 2022-02-02 | N |
| 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 | 2022-01-06 | 2022-02-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-06 | 2022-02-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-06 | 2022-02-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-06 | 2022-02-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-06 | 2022-02-02 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-06 | 2022-02-02 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-06 | 2022-02-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-18 | 2022-02-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-18 | 2022-02-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 2022-02-02 | 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 | 2021-11-18 | 2022-02-02 | 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 | 2021-11-18 | 2022-02-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-18 | 2022-02-02 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-18 | 2022-02-02 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-11-18 | 2022-02-02 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-11-18 | 2022-02-02 | 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 | 2021-09-23 | 2022-02-02 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-09-23 | 2022-02-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-23 | 2022-02-02 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-09-23 | 2022-02-02 | 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 | 2021-08-17 | 2021-09-10 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-24 | 2021-07-16 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-24 | 2021-07-16 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-16 | 2021-07-16 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-02-16 | 2021-07-16 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-02-16 | 2021-07-16 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-06-18 | 2021-07-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-04 | 2021-07-07 | 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 | 2021-05-04 | 2021-07-07 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-04 | 2021-07-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-22 | 2021-07-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-22 | 2021-07-07 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-02-16 | 2021-07-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-02-01 | 2021-02-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-02-01 | 2021-02-05 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-23 | 2020-04-23 | 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 | 2020-03-10 | 2020-03-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-20 | 2020-03-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-30 | 2020-03-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-01-04 | 2020-03-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-11 | 2020-03-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-11 | 2020-03-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-26 | 2020-03-12 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-01-23 | 2020-03-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-04 | 2019-10-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-09 | 2019-09-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-09 | 2019-09-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-09 | 2019-09-17 | 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 | 2019-05-09 | 2019-09-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-09 | 2019-09-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-07 | 2019-09-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-07 | 2019-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-07 | 2019-09-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-07 | 2019-09-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-07 | 2019-09-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-07 | 2019-09-17 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-08-08 | 2019-09-17 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-08 | 2019-09-17 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-07 | 2019-07-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-05-07 | 2019-07-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-05-07 | 2019-07-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-05-07 | 2019-07-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-07 | 2019-07-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-07 | 2019-07-16 | 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 | 2019-05-09 | 2019-07-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-09 | 2019-07-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-05-09 | 2019-07-15 | N |
| 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 | 2019-05-09 | 2019-07-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-09 | 2019-07-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-05-09 | 2019-07-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-05-09 | 2019-07-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-09 | 2019-07-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-09 | 2019-07-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-09 | 2019-07-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-09 | 2019-07-15 | N |
| 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 | 2019-05-09 | 2019-07-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-09 | 2019-07-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-05-09 | 2019-07-15 | 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 | 2019-05-09 | 2019-07-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-09 | 2019-07-15 | 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 | 2019-05-09 | 2019-07-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-05-09 | 2019-07-15 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2019-05-09 | 2019-07-15 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-05-09 | 2019-07-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-09 | 2019-07-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-05-09 | 2019-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-09 | 2019-07-15 | N |
| 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 necessary and PRN use is limited. | 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 |
| 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
