Deficiency Records for Ashford Gardens
Updated as of August 01, 2016
This is not the most recent data for Ashford Gardens. For the most recent information, click here.
A list of the most recent deficiencies for Ashford Gardens. 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 | 2016-04-14 | 2016-05-16 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-14 | 2016-05-16 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-04-14 | 2016-05-16 | 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 | 2016-04-14 | 2016-05-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-14 | 2016-05-16 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-04-12 | 2016-05-13 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-04-12 | 2016-05-13 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-04-12 | 2016-05-13 | N |
| Portable fire extinguishers. | Fire Safety | 2016-04-12 | 2016-05-13 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-04-12 | 2016-05-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-23 | 2016-03-04 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-02-23 | 2016-03-04 | 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 | 2016-02-23 | 2016-03-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-23 | 2016-03-04 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-02-09 | 2016-02-12 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-02-09 | 2016-02-12 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-12-22 | 2016-01-18 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2015-11-18 | 2015-12-15 | 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 | 2015-11-18 | 2015-12-15 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-10-14 | 2015-11-10 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-10-14 | 2015-11-10 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-10-14 | 2015-11-10 | Y |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2015-09-22 | 2015-10-13 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-09-22 | 2015-10-13 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2015-03-21 | 2015-04-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-03-21 | 2015-04-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-03-21 | 2015-04-21 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-03-19 | 2015-04-20 | 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 | 2015-03-21 | 2015-04-17 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2015-03-21 | 2015-04-17 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2015-03-19 | 2015-03-23 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-03-19 | 2015-03-20 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-03-19 | 2015-03-20 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2015-03-19 | 2015-03-20 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2015-03-19 | 2015-03-20 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-03-28 | 2014-04-02 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-02-27 | 2014-03-26 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2014-02-27 | 2014-03-26 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2014-02-27 | 2014-03-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-02-27 | 2014-03-26 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2014-02-27 | 2014-03-26 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2014-02-27 | 2014-03-26 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2014-02-27 | 2014-03-26 | N |
| 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 | 2014-02-27 | 2014-03-26 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-02-27 | 2014-03-26 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2014-02-27 | 2014-03-26 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-02-26 | 2014-02-28 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2014-02-26 | 2014-02-28 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-02-26 | 2014-02-28 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-02-26 | 2014-02-28 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-02-26 | 2014-02-28 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2014-02-26 | 2014-02-28 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-02-26 | 2014-02-28 | N |
| Portable fire extinguishers. | Fire Safety | 2014-02-26 | 2014-02-28 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-02-26 | 2014-02-28 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2013-12-11 | 2013-12-30 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-12-11 | 2013-12-30 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2013-08-14 | Not Fixed | Y |
