Inspection Reports for
Aspen Grove

R 325.1923 Employee's health: the facility did not have documentation of an annual Tuberculosis (TB) risk assessment and several employees received their TB skin tests after potential occupational exposure.

R 325.1932 Resident’s medications: PRN medications were prescribed without clear directions for administration and some lacked documented diagnoses or indications. Repeat violation established.

R 325.1953 Menus: a weekly therapeutic menu was maintained but not posted. Repeat violation established.

R 325.1979 General maintenance and storage: oxygen tanks in storage closets were not properly secured. Repeat violation established.

R 325.1981 Disaster plans: written plans and procedures for explosion, loss of heat, and loss of water were not included. Repeat violation established.

R 325.1921 Governing bodies, administrators, and supervisors: the facility lacked an organized program to ensure that residents are not going without medication during medication changes, resulting in Resident A not receiving medication from the night of 1/31/2024 through the next morning.

R 325.1931 Employees; general provisions: the facility was unable to provide documentation to support education being provided to care staff related to mechanical lifts (Hoyer).

333.20201 Policy describing rights and responsibilities of patients or residents: Resident Rights and Responsibilities were not posted at a public place within the facility.

R 325.1931 Employees; general provisions: Employees #1, #2, #4, #5, #6 and #7 lacked verification of fire prevention training and Employee #9 did not know where the disaster plan book was located nor the procedure for a fire. Repeat violation.

R 325.1932 Resident medications: Resident medication administration records were incomplete or unclear, PRN medications lacked specific written instructions, and staff did not always document reasons for PRN medication administration.

R 325.1953 Menus: Weekly menus were not posted for six residents with prescribed puree diets and five residents with prescribed mechanical soft diets.

R 325.1954 Meal and food records: The meal census was incomplete for several meals in August and September 2023.

R 325.1964 Interiors: The assisted living laundry room exhaust ventilation lacked adequate and discernable air flow.

R 325.1976 Kitchen and dietary: Chemical sanitization was used and tested daily but not recorded, so proper sanitization of dishware could not be confirmed.

R 325.1979 General maintenance and storage: A large bottle of Clorox was stored in an unlocked cupboard accessible to residents and seven oxygen tanks were unsecured on a shelf in the oxygen storage closet.

R 325.1981 Disaster plans: The facility’s disaster plan lacked written procedures for explosion, loss of heat, and loss of water.