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Deficiency Records for Ashby Care Center
View the most recent health deficiencies and inspection results for Ashby Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Ashby Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide activities to meet all resident's needs. | Health | 2026-03-05 | 2026-03-19 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2026-03-05 | 2026-03-19 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-05-22 | 2025-06-16 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-05-22 | 2025-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-22 | 2025-06-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-22 | 2025-06-16 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-05-22 | 2025-06-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-22 | 2025-06-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-05-22 | 2025-06-16 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2025-05-22 | 2025-06-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-05-22 | 2025-06-16 | N |
| 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 | 2025-05-22 | 2025-06-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-05-22 | 2025-06-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-05-22 | 2025-06-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-05-22 | 2025-06-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-22 | 2025-06-12 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-05-22 | 2025-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-22 | 2025-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-22 | 2025-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-22 | 2025-06-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-22 | 2025-06-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-22 | 2025-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-08 | 2025-06-08 | Y |
| 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 | 2025-05-08 | 2025-06-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-10 | 2024-05-09 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-20 | 2023-12-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-20 | 2023-12-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-20 | 2023-12-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-20 | 2023-12-04 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-20 | 2023-12-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-20 | 2023-12-04 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-10-20 | 2023-12-04 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-10-20 | 2023-11-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-20 | 2023-11-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-20 | 2023-11-20 | N |
| Provide activities to meet all resident's needs. | Health | 2023-10-20 | 2023-11-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-10-20 | 2023-11-20 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-10-20 | 2023-11-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-20 | 2023-11-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-10-20 | 2023-11-20 | 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 | 2023-10-20 | 2023-11-20 | 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 | 2023-10-20 | 2023-11-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-10-20 | 2023-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-20 | 2023-11-20 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-10-20 | 2023-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-20 | 2023-11-20 | N |
| Keep all essential equipment working safely. | Health | 2023-10-20 | 2023-11-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-10-20 | 2023-11-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-20 | 2023-11-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-10-20 | 2023-11-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-13 | 2023-10-31 | Y |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-06-16 | 2021-07-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-16 | 2021-07-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-16 | 2021-07-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-16 | 2021-07-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-06-16 | 2021-07-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-16 | 2021-07-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-16 | 2021-07-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-16 | 2021-07-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-16 | 2021-07-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-06-16 | 2021-07-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-06-16 | 2021-07-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-06-16 | 2021-07-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-16 | 2021-07-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-16 | 2021-07-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-06-16 | 2021-06-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-16 | 2021-06-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-16 | 2021-06-28 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-06-16 | 2021-06-28 | N |