Deficiency Records for Ashland Nursing and Rehabilitation
Updated as of September 01, 2020
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 | 2020-02-06 | 2020-03-10 | N |
| 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 | 2020-02-06 | 2020-03-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-06 | 2020-03-10 | N |
| 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 | 2020-02-06 | 2020-03-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-06 | 2020-03-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-06 | 2020-03-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-06 | 2020-03-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-06 | 2020-03-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-06 | 2020-03-10 | N |
| 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 | 2020-02-06 | 2020-03-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-06 | 2020-03-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-06 | 2020-03-10 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-02-06 | 2020-03-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-06 | 2020-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-06 | 2020-03-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-06 | 2020-03-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-06 | 2020-03-10 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-02-06 | 2020-03-10 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-02-19 | 2020-03-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-02-19 | 2020-03-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-19 | 2020-03-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-19 | 2020-03-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-20 | 2019-06-19 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2020-02-06 | 2019-04-18 | N |
| 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 | 2019-01-10 | 2019-02-27 | 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 | 2019-01-10 | 2019-02-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-10 | 2019-02-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-10 | 2019-02-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-10 | 2019-02-05 | 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 | 2019-01-10 | 2019-02-05 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-28 | 2019-01-17 | 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 | 2018-11-28 | 2019-01-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-11-28 | 2019-01-17 | 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 | 2018-11-28 | 2019-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-28 | 2019-01-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-28 | 2019-01-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-11-28 | 2019-01-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-01 | 2018-12-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-11-01 | 2018-12-04 | N |
| 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 | 2018-11-01 | 2018-12-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-01 | 2018-12-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-01 | 2018-12-04 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-11-01 | 2018-12-04 | 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 | 2018-11-01 | 2018-12-04 | N |
| Provide or obtain dental services for each resident. | Health | 2018-11-01 | 2018-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-01 | 2018-12-04 | N |
| Dispose of garbage and refuse properly. | Health | 2018-11-01 | 2018-12-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-01 | 2018-12-04 | N |
| 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 | 2018-11-01 | 2018-12-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-01 | 2018-12-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-01 | 2018-12-04 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-11-01 | 2018-12-04 | Y |
| 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 |
| 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 |
| Provide family notifications of emergency plan. | Fire Safety | 2018-01-16 | Not Fixed | Y |
| Establish emergency prep training and testing. | Fire Safety | 2018-01-16 | Not Fixed | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-03-16 | Not Fixed | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-03-16 | Not Fixed | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-16 | Not Fixed | Y |
| Respond appropriately to all alleged violations. | Health | 2018-03-16 | Not Fixed | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-16 | Not Fixed | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-16 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-16 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-16 | Not Fixed | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-03-16 | Not Fixed | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-03-16 | Not Fixed | Y |
| Provide or obtain dental services for each resident. | Health | 2018-03-16 | Not Fixed | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-16 | Not Fixed | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-03-16 | Not Fixed | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2018-03-16 | Not Fixed | Y |
| Keep all essential equipment working safely. | Health | 2018-03-16 | Not Fixed | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-01-16 | Not Fixed | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-16 | Not Fixed | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-16 | Not Fixed | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-16 | Not Fixed | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-16 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-16 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-16 | Not Fixed | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2018-01-16 | Not Fixed | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-01-16 | Not Fixed | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2018-01-16 | Not Fixed | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-01-16 | Not Fixed | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-01-16 | Not Fixed | Y |
