A list of the most recent deficiencies for Afton Oaks Nursing 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? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-08 | 2024-02-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-08 | 2024-02-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-13 | 2023-10-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-13 | 2023-10-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-13 | 2023-10-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-13 | 2023-10-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-10-05 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-13 | 2023-10-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-07 | 2023-04-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-23 | 2023-03-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-07 | 2023-03-07 | Y |
| Post nurse staffing information every day. | Health | 2023-02-07 | 2023-03-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-07 | 2023-03-07 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-02-07 | 2023-03-07 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-02-07 | 2023-03-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-14 | 2022-12-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-10 | 2022-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-10 | 2022-12-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-14 | 2022-12-09 | 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 | 2022-11-14 | 2022-12-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-14 | 2022-12-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-18 | 2022-03-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-18 | 2022-03-14 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-12-10 | 2022-01-14 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-12-10 | 2022-01-14 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2021-12-10 | 2022-01-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-04 | 2021-12-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-04 | 2021-12-10 | 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 | 2021-09-23 | 2021-10-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-26 | 2021-10-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-26 | 2021-10-01 | 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 | 2021-08-26 | 2021-10-01 | 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 | 2021-08-26 | 2021-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-26 | 2021-10-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-25 | 2021-09-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-25 | 2021-09-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-20 | 2021-09-08 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-25 | 2021-08-27 | N |
