A list of the most recent deficiencies for Ansted Center. 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-07-12 | 2023-08-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-12 | 2023-08-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-12 | 2023-08-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-07-12 | 2023-08-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-07-12 | 2023-08-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-07-12 | 2023-08-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-12 | 2023-08-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-07-12 | 2023-08-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-12 | 2023-08-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-12 | 2023-08-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-12 | 2023-08-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-12 | 2023-08-24 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-07-12 | 2023-08-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-12 | 2023-08-18 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-12 | 2023-08-18 | 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 | 2023-07-12 | 2023-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-12 | 2023-08-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-12 | 2023-08-18 | N |
| Keep all essential equipment working safely. | Health | 2023-07-12 | 2023-08-18 | 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 | 2023-07-12 | 2023-08-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-12 | 2023-08-18 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2023-07-12 | 2023-08-18 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-04-20 | 2022-05-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-20 | 2022-05-31 | 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 | 2022-04-20 | 2022-05-31 | 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 | 2022-04-20 | 2022-05-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-20 | 2022-05-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-20 | 2022-05-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-20 | 2022-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-20 | 2022-05-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-02-09 | 2021-03-19 | 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 | 2021-02-09 | 2021-03-19 | N |
