A list of the most recent deficiencies for Astoria Place of Cincinnati. 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? |
|---|---|---|---|---|
| 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 | 2023-09-19 | 2024-03-06 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-09-19 | 2024-03-06 | 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 | 2023-09-19 | 2024-03-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-19 | 2024-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-19 | 2024-03-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-19 | 2024-03-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-19 | 2024-03-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-19 | 2024-03-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-19 | 2024-03-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-22 | 2024-02-29 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-02-22 | 2024-02-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-22 | 2024-02-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-22 | 2024-02-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-22 | 2024-02-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-22 | 2024-02-29 | 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 | 2024-01-23 | 2024-02-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-23 | 2024-02-29 | Y |
| Keep all essential equipment working safely. | Health | 2024-01-23 | 2024-02-29 | Y |
| Provide immediate access to any resident. | Health | 2023-12-26 | 2024-02-29 | 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 | 2023-11-08 | 2024-02-29 | 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 | 2023-09-21 | 2024-02-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-21 | 2024-02-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-21 | 2024-02-29 | 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 | 2023-09-21 | 2024-02-29 | 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 | 2023-09-21 | 2024-02-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-21 | 2024-02-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-21 | 2024-02-29 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2023-09-21 | 2024-02-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-21 | 2024-02-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-19 | 2024-02-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-09-19 | 2024-02-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-19 | 2024-02-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-19 | 2024-02-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-19 | 2024-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-19 | 2024-02-28 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-09-19 | 2024-02-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-09-19 | 2024-02-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-19 | 2024-02-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-09-19 | 2024-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-19 | 2024-02-28 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-09-19 | 2023-10-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-19 | 2023-10-27 | 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 | 2023-09-21 | 2023-10-21 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-07-25 | 2023-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-25 | 2023-08-16 | 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 | 2023-07-25 | 2023-08-16 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-07-25 | 2023-08-16 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-07-25 | 2023-08-16 | Y |
| Provide a bathroom in or located near each resident?s room. | Health | 2023-07-25 | 2023-08-16 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-07-25 | 2023-08-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-25 | 2023-08-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-22 | 2023-08-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-22 | 2023-08-16 | 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 | 2023-06-22 | 2023-08-16 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-06-22 | 2023-08-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-11 | 2023-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-11 | 2023-05-31 | 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 | 2023-05-11 | 2023-05-31 | 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 | 2023-05-11 | 2023-05-31 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-11 | 2023-05-31 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-04-12 | 2023-05-31 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-04-12 | 2023-05-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-12 | 2023-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-12 | 2023-05-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-12 | 2023-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-07 | 2023-05-31 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-05 | 2023-05-31 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-04-05 | 2023-05-31 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-05 | 2023-05-31 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-22 | 2023-05-31 | Y |
| 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 | 2023-02-22 | 2023-05-31 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-22 | 2023-05-31 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-22 | 2023-05-31 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-22 | 2023-05-31 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-22 | 2023-05-31 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-22 | 2023-05-31 | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-02-22 | 2023-05-31 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-11-04 | 2022-12-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-04 | 2022-12-01 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-11-04 | 2022-12-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-04 | 2022-12-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-04 | 2022-12-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-04 | 2022-12-01 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-11-04 | 2022-12-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-04 | 2022-12-01 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-04 | 2022-12-01 | Y |
| 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 | 2022-11-04 | 2022-12-01 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-11-04 | 2022-12-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-04 | 2022-12-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-18 | 2022-12-01 | 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 | 2022-10-18 | 2022-12-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-18 | 2022-12-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-18 | 2022-12-01 | 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 | 2022-05-05 | 2022-06-07 | 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 | 2022-03-16 | 2022-06-07 | 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 | 2022-02-11 | 2022-06-07 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-10 | 2022-06-07 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-05 | 2022-06-06 | 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 | 2022-03-16 | 2022-06-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-16 | 2022-06-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-16 | 2022-06-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-16 | 2022-06-06 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-16 | 2022-06-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-16 | 2022-06-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-16 | 2022-06-06 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2022-03-16 | 2022-06-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-16 | 2022-06-06 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-03-16 | 2022-06-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-16 | 2022-06-06 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-16 | 2022-06-06 | 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 | 2022-02-11 | 2022-06-06 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-10 | 2022-06-06 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-02-10 | 2022-06-06 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-10 | 2022-06-06 | Y |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-02-10 | 2022-06-06 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-05-05 | 2022-05-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-16 | 2022-04-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-06 | 2021-12-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-06 | 2021-12-29 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-06-22 | 2021-08-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-06-22 | 2021-08-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-06-22 | 2021-08-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-06-22 | 2021-08-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-06-22 | 2021-08-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-22 | 2021-08-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-22 | 2021-08-11 | 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 | 2021-06-22 | 2021-08-11 | 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 | 2021-06-22 | 2021-08-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-22 | 2021-08-11 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-22 | 2021-08-11 | 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 | 2021-06-22 | 2021-08-11 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-22 | 2021-08-11 | 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 | 2021-07-08 | 2021-08-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-08 | 2021-08-11 | Y |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2021-07-08 | 2021-08-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-22 | 2021-08-11 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-22 | 2021-08-11 | 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 | 2021-06-22 | 2021-08-11 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-22 | 2021-08-11 | 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 | 2021-06-22 | 2021-08-11 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-22 | 2021-08-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-08 | 2021-05-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-08 | 2021-05-05 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-04-08 | 2021-05-05 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-04-08 | 2021-05-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-28 | 2019-04-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-28 | 2019-04-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-28 | 2019-04-11 | 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 | 2019-02-28 | 2019-04-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-28 | 2019-04-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-28 | 2019-04-11 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-02-28 | 2019-04-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-28 | 2019-04-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-02-28 | 2019-04-11 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-02-28 | 2019-04-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-28 | 2019-04-11 | N |
| Provide appropriate foot care. | Health | 2019-02-28 | 2019-04-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-28 | 2019-04-11 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-02-28 | 2019-04-11 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-02-28 | 2019-04-11 | 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 | 2019-02-28 | 2019-04-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-28 | 2019-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-28 | 2019-04-11 | N |
| Keep all essential equipment working safely. | Health | 2019-02-28 | 2019-04-11 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2019-02-28 | 2019-04-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-27 | 2019-04-11 | 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 | 2019-02-27 | 2019-04-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-27 | 2019-04-11 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-02-27 | 2019-04-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-02-27 | 2019-04-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-27 | 2019-04-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-27 | 2019-04-11 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-02-27 | 2019-04-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-27 | 2019-04-11 | N |
