CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Ashford Hall
View the most recent health deficiencies and inspection results for Ashford Hall. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Ashford Hall. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-24 | 2026-03-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-24 | 2026-03-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-03-04 | 2026-03-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-17 | 2025-12-19 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2025-01-24 | 2025-02-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-24 | 2025-02-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-24 | 2025-02-03 | 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 | 2025-01-24 | 2025-02-03 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-01-24 | 2025-02-03 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2025-01-24 | 2025-02-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-01-24 | 2025-02-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-01-24 | 2025-02-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-24 | 2025-02-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-24 | 2025-02-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-01-24 | 2025-02-03 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-01-24 | 2025-02-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-01-24 | 2025-02-03 | 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 | 2025-01-24 | 2025-02-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-24 | 2025-02-03 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2025-01-24 | 2025-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-24 | 2025-02-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-24 | 2025-02-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-24 | 2025-02-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-01-24 | 2025-02-03 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2025-01-24 | 2025-02-03 | 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 | 2025-01-13 | 2025-01-22 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2025-01-13 | 2025-01-22 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-01-13 | 2025-01-22 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-09-24 | 2024-09-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-10 | 2024-08-11 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-10 | 2024-08-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-02 | 2024-07-03 | 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 | 2024-07-02 | 2024-07-03 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-07-02 | 2024-07-03 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-04-17 | 2024-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-04 | 2024-04-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-04 | 2024-04-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-22 | 2024-03-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-22 | 2024-03-23 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-01 | 2023-12-22 | 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 | 2023-12-01 | 2023-12-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-01 | 2023-12-22 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-12-01 | 2023-12-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-01 | 2023-12-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-01 | 2023-12-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-01 | 2023-12-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-01 | 2023-12-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-01 | 2023-12-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-01 | 2023-12-18 | Y |
| Post nurse staffing information every day. | Health | 2023-11-17 | 2023-11-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-20 | 2023-09-21 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-08-15 | 2023-09-07 | 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 | 2023-08-15 | 2023-09-07 | 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 | 2023-06-06 | 2023-06-07 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-22 | 2022-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-22 | 2022-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-22 | 2022-10-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-22 | 2022-10-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-09-22 | 2022-10-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-09-22 | 2022-10-10 | N |