Deficiency Records for Ayers Nursing Home
Updated as of April 01, 2022
This is not the most recent data for Ayers Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for Ayers 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 that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-12-12 | 2020-02-07 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-12-12 | 2020-02-07 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-10 | 2020-02-07 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-12-10 | 2020-02-07 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-10 | 2020-02-07 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-10 | 2020-02-07 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-10 | 2020-02-07 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-10-10 | 2018-12-12 | 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 | 2018-10-16 | 2018-12-10 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-10-16 | 2018-12-10 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-10-16 | 2018-12-10 | N |
Assess the resident when there is a significant change in condition | Health | 2018-10-16 | 2018-12-10 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-10-16 | 2018-12-10 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-16 | 2018-12-10 | 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 | 2018-10-16 | 2018-12-10 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-16 | 2018-12-10 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-10-16 | 2018-12-10 | 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 | 2018-10-16 | 2018-12-10 | 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 | 2018-10-16 | 2018-12-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-16 | 2018-12-10 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-10-16 | 2018-12-10 | N |
Provide and implement an infection prevention and control program. | Health | 2018-10-16 | 2018-12-10 | N |
Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2018-10-10 | 2018-11-23 | 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 | 2018-10-10 | 2018-11-23 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-10 | 2018-11-23 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-10 | 2018-11-23 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-10 | 2018-11-23 | N |
Have an externally vented heating system. | Fire Safety | 2018-10-10 | 2018-11-23 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-10 | 2018-11-23 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-11 | 2018-03-11 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-01-11 | 2018-03-11 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-11 | 2018-03-11 | 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 | 2018-01-11 | 2018-03-11 | 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 | 2018-01-11 | 2018-03-11 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-01-11 | 2018-03-11 | N |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-01-10 | 2018-03-11 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2018-01-10 | 2018-03-11 | N |
Establish emergency prep training and testing. | Fire Safety | 2018-01-10 | 2018-03-11 | N |
Have exits that are accessible at all times. | Fire Safety | 2018-01-10 | 2018-03-11 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-01-10 | 2018-03-11 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-01-10 | 2018-03-11 | 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 | 2018-01-10 | 2018-03-11 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-10 | 2018-03-11 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-10 | 2018-03-11 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-01-10 | 2018-03-11 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-10 | 2018-03-11 | N |