Deficiency Records for Ashford Gardens
Updated as of September 01, 2021
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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-26 | 2021-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-26 | 2021-06-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-26 | 2021-06-11 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-05-28 | 2021-06-11 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-05-28 | 2021-06-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-28 | 2021-06-11 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-05-28 | 2021-06-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-28 | 2021-06-11 | 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 | 2021-05-28 | 2021-06-11 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-05-28 | 2021-06-11 | 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 | 2021-05-28 | 2021-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-28 | 2021-06-11 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-06-20 | 2019-07-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-06-20 | 2019-07-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-20 | 2019-07-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-06-20 | 2019-07-08 | 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 | 2019-06-20 | 2019-07-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-20 | 2019-07-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-20 | 2019-07-08 | 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 | 2019-06-20 | 2019-07-08 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-06-20 | 2019-07-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-20 | 2019-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-20 | 2019-07-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-02 | 2019-05-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-02 | 2019-04-09 | Y |
| 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 |
| 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 necessary and PRN use is limited. | 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 |
