Deficiency Records for Ashford Hall
Updated as of February 01, 2018
This is not the most recent data for Ashford Hall. For the most recent information, click here.
A list of the most recent deficiencies for Ashford Hall. 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 | 2017-11-01 | 2017-12-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-11-01 | 2017-11-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-11-01 | 2017-11-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-11-01 | 2017-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-11-01 | 2017-11-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-27 | 2017-11-15 | N |
| Keep all essential equipment working safely. | Health | 2017-07-25 | 2017-07-25 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2016-11-03 | 2016-12-15 | 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 | 2016-11-03 | 2016-11-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-11-03 | 2016-11-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-11-03 | 2016-11-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-11-03 | 2016-11-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2016-11-03 | 2016-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-11-03 | 2016-11-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-11-03 | 2016-11-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-11-03 | 2016-11-07 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-11-04 | 2016-11-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-11-04 | 2016-11-05 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-05-27 | 2016-08-02 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-05-27 | 2016-08-02 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-05-27 | 2016-08-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-27 | 2016-08-02 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-05-27 | 2016-08-02 | Y |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-12-17 | 2016-01-20 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-12-18 | 2016-01-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-12-18 | 2016-01-20 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2015-12-18 | 2016-01-20 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2015-12-18 | 2016-01-20 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-12-18 | 2016-01-20 | Y |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-12-18 | 2016-01-20 | Y |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-12-17 | 2016-01-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-12-18 | 2016-01-12 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-12-17 | 2016-01-11 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2015-12-18 | 2016-01-11 | Y |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-12-17 | 2015-12-31 | N |
| Maintain comfortable and safe temperature levels. | Health | 2015-12-18 | 2015-12-23 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-12-17 | 2015-12-22 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-12-17 | 2015-12-22 | N |
| Portable fire extinguishers. | Fire Safety | 2015-12-17 | 2015-12-21 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-12-17 | 2015-12-19 | N |
