A list of the most recent deficiencies for Astoria Place of Clyde, LLC. 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 | 2023-08-10 | 2023-08-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-10 | 2023-08-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-10 | 2023-08-28 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-06-02 | 2022-06-24 | 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 | 2022-06-02 | 2022-06-24 | N |
| Provide activities to meet all resident's needs. | Health | 2022-06-02 | 2022-06-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-02 | 2022-06-24 | N |
| 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 | 2022-06-02 | 2022-06-24 | N |
| Post nurse staffing information every day. | Health | 2022-06-02 | 2022-06-24 | 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 | 2022-06-02 | 2022-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-02 | 2022-06-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-02 | 2022-06-24 | 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 | 2022-06-01 | 2022-06-24 | 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 | 2022-06-01 | 2022-06-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-01 | 2022-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-01 | 2022-06-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-06-01 | 2022-06-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-01 | 2022-06-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-01 | 2022-06-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-01 | 2022-06-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-10 | 2022-02-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-10 | 2022-02-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-10 | 2022-02-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-10 | 2022-02-18 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-10-19 | 2021-11-19 | Y |
| Post nurse staffing information every day. | Health | 2021-10-19 | 2021-11-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-19 | 2021-11-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-14 | 2021-09-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-07 | 2021-07-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-03-04 | 2021-04-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-04 | 2021-04-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-04 | 2021-04-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-04 | 2021-04-16 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2021-03-04 | 2021-04-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-04 | 2021-04-16 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-07-02 | 2019-08-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-07-02 | 2019-08-14 | 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 | 2019-07-02 | 2019-08-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-02 | 2019-08-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-02 | 2019-08-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-02 | 2019-08-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-07-02 | 2019-08-14 | N |
| Post nurse staffing information every day. | Health | 2019-07-02 | 2019-08-14 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-07-02 | 2019-08-14 | 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 | 2019-07-02 | 2019-08-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-30 | 2019-08-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-30 | 2019-08-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-21 | 2018-07-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-21 | 2018-07-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-21 | 2018-07-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-21 | 2018-07-31 | 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 | 2018-06-21 | 2018-07-31 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-06-21 | 2018-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-20 | 2018-07-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-20 | 2018-07-31 | N |
