A list of the most recent deficiencies for Ashtabula County Nursing Home. 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? |
|---|---|---|---|---|
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-31 | 2023-10-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-29 | 2023-10-06 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-08-29 | 2023-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-29 | 2023-10-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-29 | 2023-10-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-29 | 2023-10-06 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-08-29 | 2023-10-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-07 | 2022-12-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-13 | 2022-12-19 | Y |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2019-12-03 | 2020-01-24 | 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 | 2019-12-03 | 2020-01-24 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-12-03 | 2020-01-24 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-12-05 | 2020-01-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-05 | 2020-01-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-05 | 2020-01-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-05 | 2020-01-23 | 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 | 2019-12-05 | 2020-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2020-01-23 | N |
| Use approved construction type or materials. | Fire Safety | 2019-12-03 | 2020-01-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-03 | 2020-01-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-23 | 2018-11-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-23 | 2018-11-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-23 | 2018-11-05 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-23 | 2018-11-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-23 | 2018-11-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-23 | 2018-11-05 | 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 | 2018-10-23 | 2018-11-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-23 | 2018-11-05 | 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 | 2018-10-23 | 2018-11-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-23 | 2018-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-23 | 2018-11-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-10-22 | 2018-11-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-22 | 2018-11-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-22 | 2018-11-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-10-22 | 2018-11-05 | N |
