A list of the most recent deficiencies for Ararat Nursing Facility. 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? |
---|---|---|---|---|
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-06 | 2024-02-29 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-06 | 2024-02-29 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-22 | 2023-10-06 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-13 | 2023-07-28 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-07-13 | 2023-07-28 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-03 | 2023-05-12 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-03 | 2023-05-12 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-03 | 2023-05-12 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-03 | 2023-05-12 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-03 | 2023-05-12 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-05-03 | 2023-05-12 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-23 | 2022-12-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-29 | 2022-08-01 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-13 | 2022-05-03 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-21 | 2021-12-08 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-22 | 2021-11-15 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-10-22 | 2021-11-15 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-22 | 2021-11-15 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-22 | 2021-11-15 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-10-22 | 2021-11-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-22 | 2021-11-15 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-22 | 2021-11-15 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-22 | 2021-11-15 | N |
Ensure that residents are free from significant medication errors. | Health | 2021-10-22 | 2021-11-15 | 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 | 2021-10-22 | 2021-11-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-22 | 2021-11-15 | N |
Provide and implement an infection prevention and control program. | Health | 2021-10-22 | 2021-11-15 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-29 | 2021-11-08 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-12 | 2021-08-10 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2019-03-26 | 2019-04-18 | 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 | 2019-03-26 | 2019-04-18 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-26 | 2019-04-18 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-26 | 2019-04-18 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-26 | 2019-04-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-26 | 2019-04-18 | N |
Provide and implement an infection prevention and control program. | Health | 2019-03-26 | 2019-04-18 | 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 | 2019-03-28 | 2019-04-18 | N |
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 | 2019-03-28 | 2019-04-18 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-03-28 | 2019-04-18 | N |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-03-28 | 2019-04-18 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-28 | 2019-04-18 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-09 | 2018-05-30 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-04-09 | 2018-05-30 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-09 | 2018-05-30 | 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 | 2018-04-09 | 2018-05-30 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-09 | 2018-05-30 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-09 | 2018-05-30 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-09 | 2018-05-30 | 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 | 2018-04-09 | 2018-05-30 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2018-04-09 | 2018-05-02 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2018-04-09 | 2018-05-02 | N |
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 | 2018-04-09 | 2018-05-02 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-09 | 2018-05-02 | N |
Construct fire resistant interior walls. | Fire Safety | 2018-04-09 | 2018-05-02 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-09 | 2018-05-02 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-09 | 2018-05-02 | N |