A list of the most recent deficiencies for Aspen Health and Rehab. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-07 | 2023-10-04 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-21 | 2023-08-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-21 | 2023-08-21 | 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 | 2023-05-25 | 2023-06-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-25 | 2023-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-26 | 2022-05-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-26 | 2022-05-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-26 | 2022-05-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-26 | 2022-05-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-26 | 2022-05-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-26 | 2022-05-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-10 | 2021-06-02 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-12-11 | 2020-01-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-12 | 2019-12-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-25 | 2018-11-24 | 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 | 2018-10-25 | 2018-11-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-25 | 2018-11-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-25 | 2018-11-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-18 | 2018-11-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-18 | 2018-11-17 | 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 | 2018-10-18 | 2018-11-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-18 | 2018-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-18 | 2018-11-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-18 | 2018-11-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-18 | 2018-11-17 | N |
