A list of the most recent deficiencies for Ayden Healthcare of Jackson. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-31 | 2023-10-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-31 | 2023-10-20 | 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 | 2023-08-31 | 2023-10-20 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-31 | 2023-10-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-08-31 | 2023-10-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-31 | 2023-10-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-31 | 2023-10-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-31 | 2023-10-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-08-29 | 2023-10-20 | 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 | 2023-08-29 | 2023-10-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-02 | 2022-09-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-07 | 2021-11-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-07 | 2021-11-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-07 | 2021-11-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-07 | 2021-11-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-07 | 2021-11-02 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-10-07 | 2021-11-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-07 | 2021-11-02 | 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 | 2021-10-07 | 2021-11-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-07 | 2021-11-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-07 | 2021-11-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-05 | 2021-11-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-05 | 2021-11-02 | 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 | 2019-07-02 | 2019-08-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-02 | 2019-08-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-02 | 2019-08-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-02 | 2019-08-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-02 | 2019-08-09 | 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 | 2019-07-02 | 2019-08-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-02 | 2019-08-09 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-07-02 | 2019-08-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-02 | 2019-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-02 | 2019-08-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-01 | 2019-08-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-01 | 2019-08-09 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-07-01 | 2019-08-09 | N |
