Deficiency Records for Ashford Gardens
Updated as of March 01, 2019
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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-01-17 | 2019-01-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-17 | 2019-01-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-17 | 2019-01-21 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-01-17 | 2019-01-21 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2018-06-26 | 2018-07-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-06-26 | 2018-07-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-06-26 | 2018-07-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-26 | 2018-07-10 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-06-26 | 2018-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-26 | 2018-07-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-12 | 2018-07-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-29 | 2018-07-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-29 | 2018-07-10 | 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 | 2018-06-29 | 2018-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-29 | 2018-07-10 | N |
| Provide activities to meet all resident's needs. | Health | 2018-06-29 | 2018-07-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-29 | 2018-07-10 | 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 | 2018-06-29 | 2018-07-10 | 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 ne | Health | 2018-06-29 | 2018-07-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-29 | 2018-07-10 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-06-29 | 2018-07-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-06-29 | 2018-07-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-06-29 | 2018-07-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-12 | 2018-06-24 | 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 | 2018-03-27 | 2018-04-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-24 | 2018-02-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-19 | 2018-01-09 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-12-19 | 2018-01-09 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-20 | 2017-08-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-20 | 2017-08-20 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-07-20 | 2017-08-20 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-07-20 | 2017-08-20 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-07-20 | 2017-08-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-18 | 2017-08-18 | N |
| 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 | 2017-02-24 | 2017-03-10 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2017-02-16 | 2017-03-07 | Y |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-12-01 | 2016-12-30 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-06-30 | 2016-07-28 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-06-30 | 2016-07-28 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-30 | 2016-07-28 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2016-06-30 | 2016-07-28 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-06-30 | 2016-07-28 | 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 | 2016-06-30 | 2016-07-28 | Y |
| 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 |
