Deficiency Records for Ashland Nursing and Rehabilitation
Updated as of February 01, 2018
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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-30 | 2017-12-20 | 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 | 2017-10-30 | 2017-12-20 | 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 | 2017-10-30 | 2017-12-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-10-30 | 2017-12-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-10-30 | 2017-12-20 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2017-10-30 | 2017-12-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-10-30 | 2017-12-20 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-10-30 | 2017-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-30 | 2017-12-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-10-30 | 2017-12-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-30 | 2017-12-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-10-30 | 2017-12-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-10-30 | 2017-12-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-30 | 2017-12-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-10-30 | 2017-12-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-10-30 | 2017-12-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-09-29 | 2017-11-07 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-09-29 | 2017-11-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-09-29 | 2017-11-07 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-09-29 | 2017-11-07 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-09-29 | 2017-11-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-29 | 2017-11-07 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-09-29 | 2017-11-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-09-29 | 2017-11-07 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-09-29 | 2017-11-07 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-09-29 | 2017-11-07 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-09-29 | 2017-11-07 | 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 | 2017-09-29 | 2017-11-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-29 | 2017-11-07 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-29 | 2017-11-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-29 | 2017-11-07 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-09-29 | 2017-11-07 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2017-09-29 | 2017-11-07 | N |
| Keep complete, dated laboratory records in the resident's file. | Health | 2017-09-29 | 2017-11-07 | N |
| Keep signed and dated reports of x-rays and other diagnostic services. | Health | 2017-09-29 | 2017-11-07 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-29 | 2017-11-07 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-09-29 | 2017-11-07 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-09-29 | 2017-11-07 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-29 | 2017-11-07 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-02-02 | 2017-03-09 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-02 | 2017-03-09 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-02 | 2017-03-09 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-09-29 | 2017-02-13 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-09-29 | 2017-02-13 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-10-20 | 2017-01-10 | N |
| A written emergency evacuation plan. | Fire Safety | 2016-10-20 | 2016-11-17 | N |
| A complete sprinkler system with alarm system connection. | Fire Safety | 2016-10-20 | 2016-11-17 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-10-20 | 2016-11-17 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-10-20 | 2016-11-17 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-10-20 | 2016-11-17 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2016-10-06 | 2016-11-07 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-10-06 | 2016-11-07 | 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 | 2016-10-06 | 2016-11-07 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-10-06 | 2016-11-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-10-06 | 2016-11-07 | N |
| Give notice to the resident before a room or roommate change. | Health | 2016-10-06 | 2016-11-07 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-10-06 | 2016-11-07 | N |
| Provide housekeeping and maintenance services. | Health | 2016-10-06 | 2016-11-07 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-10-06 | 2016-11-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-06 | 2016-11-07 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-10-06 | 2016-11-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-06 | 2016-11-07 | N |
| 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 | 2016-10-06 | 2016-11-07 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-10-06 | 2016-11-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-10-06 | 2016-11-07 | N |
| Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | Health | 2016-10-06 | 2016-11-07 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-10-06 | 2016-11-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-06 | 2016-11-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-10-06 | 2016-11-07 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-10-06 | 2016-11-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-08-03 | 2016-08-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-08-03 | 2016-08-22 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-08-03 | 2016-08-22 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-03 | 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 | 2016-08-03 | 2016-08-22 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-03 | 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 | 2016-06-30 | 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 |
| Have 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 |
