A list of the most recent deficiencies for Asbury Place at Maryville. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-11 | 2022-11-07 | 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 | 2022-09-11 | 2022-11-07 | 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 | 2022-09-11 | 2022-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-11 | 2022-11-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-11 | 2022-11-07 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-09-11 | 2022-11-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-11 | 2022-11-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-11 | 2022-11-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-14 | 2022-10-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-14 | 2022-10-17 | 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 | 2022-09-14 | 2022-10-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-14 | 2022-10-17 | N |
| 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 | 2022-09-14 | 2022-10-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-14 | 2022-10-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-14 | 2022-10-17 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-09-14 | 2022-10-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-14 | 2022-10-17 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-09-14 | 2022-10-17 | Y |
| Report COVID19 data to residents and families. | Health | 2022-09-14 | 2022-10-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-11 | 2022-06-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-02 | 2022-04-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-02 | 2022-03-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-02 | 2022-03-30 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-02 | 2022-03-30 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-03-02 | 2022-03-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-07 | 2021-10-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-07 | 2021-10-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-09-07 | 2021-10-18 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-09-07 | 2021-10-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-07 | 2021-10-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-13 | 2021-06-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-04 | 2021-05-31 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-28 | 2019-10-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-28 | 2019-10-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-27 | 2019-10-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-27 | 2019-10-12 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-08-27 | 2019-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-27 | 2019-10-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-20 | 2018-10-22 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-08-20 | 2018-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-20 | 2018-10-22 | 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 | 2018-08-20 | 2018-10-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-20 | 2018-10-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-20 | 2018-10-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-20 | 2018-10-22 | 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 | 2018-08-20 | 2018-10-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-20 | 2018-10-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-20 | 2018-10-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-08-20 | 2018-10-22 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-08-20 | 2018-10-22 | N |
| 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 | 2018-08-20 | 2018-10-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-20 | 2018-10-22 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-08-20 | 2018-10-22 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2018-08-20 | 2018-10-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-08-20 | 2018-10-22 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-08-20 | 2018-10-22 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-15 | 2018-10-04 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-08-15 | 2018-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-15 | 2018-10-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-15 | 2018-10-04 | N |
