A list of the most recent deficiencies for Asbury Health Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-11-13 | 2023-11-24 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-15 | 2023-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-15 | 2023-11-06 | 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 | 2023-09-15 | 2023-11-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-18 | 2023-11-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-18 | 2023-11-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-18 | 2023-11-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-18 | 2023-11-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-18 | 2023-11-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-30 | 2023-05-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-09 | 2022-10-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-09 | 2022-10-14 | 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 | 2022-09-09 | 2022-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-09 | 2022-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-09 | 2022-10-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-09 | 2022-10-14 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-09-14 | 2022-09-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-14 | 2022-09-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-14 | 2022-09-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-14 | 2022-09-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-18 | 2022-06-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-06 | 2022-04-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-06 | 2022-04-29 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-06 | 2022-04-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-18 | 2021-09-22 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-08-18 | 2021-09-22 | 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 | 2021-08-18 | 2021-09-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-18 | 2021-09-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-18 | 2021-09-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-18 | 2021-09-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-08-18 | 2021-09-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-18 | 2021-09-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-18 | 2021-09-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-18 | 2021-09-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-18 | 2021-09-22 | 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 | 2021-08-18 | 2021-09-22 | 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 | 2021-08-18 | 2021-09-22 | 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 | 2021-08-18 | 2021-09-22 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-18 | 2021-09-22 | Y |
| Dispose of garbage and refuse properly. | Health | 2021-08-18 | 2021-09-22 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-08-18 | 2021-09-22 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-07-08 | 2021-08-31 | 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 | 2021-07-08 | 2021-08-31 | Y |
| 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 | 2021-08-17 | 2021-08-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-17 | 2021-08-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-30 | 2021-06-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-30 | 2021-06-01 | Y |
