A list of the most recent deficiencies for Abri at Edinburg. 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-11-17 | 2023-12-15 | 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 | 2023-11-17 | 2023-12-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-17 | 2023-12-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-17 | 2023-12-15 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-11-17 | 2023-12-15 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-11-17 | 2023-12-15 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-11-17 | 2023-12-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-17 | 2023-12-15 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-11-17 | 2023-12-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-03 | 2023-11-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-03 | 2023-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-03 | 2023-11-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-10 | 2023-03-03 | Y |
| Provide appropriate foot care. | Health | 2022-09-28 | 2022-10-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-26 | 2022-09-16 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2022-08-25 | 2022-08-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-29 | 2022-07-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-29 | 2022-07-22 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-03 | 2021-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-03 | 2021-06-18 | N |
