A list of the most recent deficiencies for Astoria Place of Barnesville. 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? |
|---|---|---|---|---|
| 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 | 2024-01-31 | 2024-03-18 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-01-31 | 2024-03-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-18 | 2024-01-08 | 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 | 2023-12-18 | 2024-01-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-14 | 2023-10-12 | 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 | 2023-09-14 | 2023-10-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-14 | 2023-10-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-09-14 | 2023-10-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-14 | 2023-10-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-14 | 2023-10-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-14 | 2023-10-12 | 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 | 2023-09-14 | 2023-10-12 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-09-14 | 2023-10-12 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2023-09-14 | 2023-10-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-10-12 | N |
| Dispose of garbage and refuse properly. | Health | 2023-09-14 | 2023-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-14 | 2023-10-12 | N |
| Keep all essential equipment working safely. | Health | 2023-09-14 | 2023-10-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-14 | 2023-10-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-14 | 2023-10-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-14 | 2023-10-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-10-12 | 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 | 2023-09-14 | 2023-10-12 | Y |
| 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 | 2023-09-14 | 2023-10-12 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2023-09-11 | 2023-10-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-11 | 2023-10-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-11 | 2023-10-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-11 | 2023-10-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-11 | 2023-10-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-11 | 2023-10-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-10-04 | 2021-10-25 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-10-04 | 2021-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-04 | 2021-10-25 | 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 | 2021-10-04 | 2021-10-25 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-10-04 | 2021-10-25 | 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 | 2021-10-04 | 2021-10-25 | 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 | 2021-10-04 | 2021-10-25 | 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 | 2021-10-04 | 2021-10-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-10-04 | 2021-10-25 | 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 | 2021-09-28 | 2021-10-25 | 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 | 2021-09-28 | 2021-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-28 | 2021-10-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-28 | 2021-10-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-28 | 2021-10-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-28 | 2021-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-03 | 2021-07-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-03 | 2021-07-21 | 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 | 2021-07-03 | 2021-07-21 | Y |
| Post nurse staffing information every day. | Health | 2021-07-03 | 2021-07-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-08 | 2019-09-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-08-08 | 2019-09-13 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-08-08 | 2019-09-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-08 | 2019-09-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-08 | 2019-09-13 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-08 | 2019-09-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-08 | 2019-09-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-08 | 2019-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-08 | 2019-09-13 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-05 | 2019-09-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-08-05 | 2019-09-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-08-05 | 2019-09-13 | 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 | 2019-08-05 | 2019-09-13 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-08-05 | 2019-09-13 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-08-05 | 2019-09-13 | N |
