Deficiency Records for Ashland Nursing and Rehabilitation
Updated as of September 01, 2016
This is not the most recent data for Ashland Nursing and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Ashland Nursing and Rehabilitation. 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? |
---|---|---|---|---|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-30 | 2016-08-22 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-06-30 | 2016-08-22 | Y |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-06-30 | 2016-08-22 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-30 | 2016-08-22 | Y |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-06-30 | 2016-08-22 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-30 | 2016-08-22 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-05-12 | 2016-08-22 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-05-12 | 2016-08-22 | Y |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-05-12 | 2016-08-22 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-12 | 2016-08-22 | Y |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-05-12 | 2016-08-22 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-12 | 2016-08-22 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-03-31 | 2016-08-22 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-31 | 2016-08-22 | Y |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-03-31 | 2016-08-22 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-31 | 2016-08-22 | Y |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-31 | 2016-08-22 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-03-31 | 2016-08-22 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-06-30 | 2016-08-03 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-30 | 2016-08-03 | Y |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-06-30 | 2016-08-03 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-05-12 | 2016-08-03 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-12 | 2016-08-03 | Y |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-05-12 | 2016-08-03 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-03-31 | 2016-08-03 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-31 | 2016-08-03 | Y |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-03-31 | 2016-08-03 | 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 | 2016-05-12 | 2016-06-30 | 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 | 2016-05-12 | 2016-06-30 | Y |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-05-12 | 2016-06-30 | Y |
Provide activities to meet the interests and needs of each resident. | Health | 2016-05-12 | 2016-06-30 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-05-12 | 2016-06-30 | Y |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-05-12 | 2016-06-30 | Y |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-05-12 | 2016-06-30 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-12 | 2016-06-30 | 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 | 2016-03-31 | 2016-06-30 | 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 | 2016-03-31 | 2016-06-30 | Y |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-03-31 | 2016-06-30 | Y |
Provide activities to meet the interests and needs of each resident. | Health | 2016-03-31 | 2016-06-30 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-03-31 | 2016-06-30 | Y |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-03-31 | 2016-06-30 | Y |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-03-31 | 2016-06-30 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-31 | 2016-06-30 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2016-03-31 | 2016-05-03 | Y |
Let residents voice a complaint or grievance without being treated differently or badly. | Health | 2016-03-31 | 2016-05-03 | Y |
Keep each resident free from drugs that restrain them, unless needed for medical treatment. | Health | 2016-03-31 | 2016-05-03 | Y |
Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2016-03-31 | 2016-05-03 | Y |
Quickly tell the resident's doctor the results of laboratory tests. | Health | 2016-03-31 | 2016-05-03 | Y |
Corridor and hallway doors that block smoke. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
Properly located and lighted "Exit" signs. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
Properly maintained smoke detectors. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
Properly protected cooking facilities. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
Proper medical gas storage and administration areas. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
Other fire safety features required by fire safety codes. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
No-smoking signs where oxygen is used. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2015-10-26 | 2015-12-08 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-10-08 | 2015-11-10 | N |
Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-10-08 | 2015-11-10 | N |
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 | 2015-10-08 | 2015-11-10 | N |
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 | 2015-10-08 | 2015-11-10 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-10-08 | 2015-11-10 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-10-08 | 2015-11-10 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-10-08 | 2015-11-10 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-10-08 | 2015-11-10 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-10-08 | 2015-11-10 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-10-08 | 2015-11-10 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-10-08 | 2015-11-10 | N |
Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-10-08 | 2015-11-10 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-10-08 | 2015-11-10 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-10-08 | 2015-11-10 | N |
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2015-10-08 | 2015-11-10 | N |
Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2015-10-08 | 2015-11-10 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-10-08 | 2015-11-10 | N |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2015-10-08 | 2015-11-10 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-03-19 | 2015-04-09 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-03-19 | 2015-04-09 | Y |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-03-19 | 2015-04-09 | Y |
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-10-21 | 2014-11-21 | N |
Other fire safety features required by fire safety codes. | Fire Safety | 2014-10-21 | 2014-11-21 | N |
No-smoking signs where oxygen is used. | Fire Safety | 2014-10-21 | 2014-11-21 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2014-10-21 | 2014-11-21 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-09-25 | 2014-10-20 | N |
Keep residents' personal and medical records private and confidential. | Health | 2014-09-25 | 2014-10-20 | N |
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 | 2014-09-25 | 2014-10-20 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2014-09-25 | 2014-10-20 | N |
Give notice to the resident before a room or roommate change. | Health | 2014-09-25 | 2014-10-20 | N |
Provide activities to meet the interests and needs of each resident. | Health | 2014-09-25 | 2014-10-20 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-09-25 | 2014-10-20 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-09-25 | 2014-10-20 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-09-25 | 2014-10-20 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-09-25 | 2014-10-20 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-09-25 | 2014-10-20 | N |
Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2014-09-25 | 2014-10-20 | N |
Dispose of garbage and refuse properly. | Health | 2014-09-25 | 2014-10-20 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-09-25 | 2014-10-20 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-09-25 | 2014-10-20 | N |
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2014-09-25 | 2014-10-20 | N |
Keep complete, dated laboratory records in the resident's file. | Health | 2014-09-25 | 2014-10-20 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-09-25 | 2014-10-20 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-09-25 | 2014-10-20 | N |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2014-09-25 | 2014-10-20 | Y |
Corridor and hallway doors that block smoke. | Fire Safety | 2013-11-15 | 2014-01-06 | N |
Exits that are accessible at all times. | Fire Safety | 2013-11-15 | 2014-01-06 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-11-15 | 2014-01-06 | N |
Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2013-11-15 | 2014-01-06 | N |
Restrictions on the use of portable space heaters. | Fire Safety | 2013-11-15 | 2014-01-06 | N |
Other fire safety features required by fire safety codes. | Fire Safety | 2013-11-15 | 2014-01-06 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2013-10-31 | 2013-12-18 | N |
Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2013-10-31 | 2013-12-18 | N |
Provide resident groups or resident family groups with private space to meet. | Health | 2013-10-31 | 2013-12-18 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2013-10-31 | 2013-12-18 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-10-31 | 2013-12-18 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2013-10-31 | 2013-12-18 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-10-31 | 2013-12-18 | N |
Post nurse staffing information/data on a daily basis. | Health | 2013-10-31 | 2013-12-18 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2013-10-31 | 2013-12-18 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2013-10-31 | 2013-12-18 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2013-10-31 | 2013-12-18 | N |
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2013-10-31 | 2013-12-18 | N |
Quickly tell the resident's doctor the results of laboratory tests. | Health | 2013-10-31 | 2013-12-18 | N |
Keep complete, dated laboratory records in the resident's file. | Health | 2013-10-31 | 2013-12-18 | N |
Keep signed and dated reports of x-rays and other diagnostic services. | Health | 2013-10-31 | 2013-12-18 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2013-10-31 | 2013-12-18 | N |
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 | 2013-10-31 | 2013-12-18 | 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 | 2013-10-31 | 2013-12-18 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-10-31 | 2013-12-18 | Y |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2013-10-31 | 2013-12-18 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-10-31 | 2013-12-18 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2013-10-31 | 2013-12-18 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-10-31 | 2013-07-01 | Y |