Inspection Report
Follow-Up
Census: 44
Capacity: 120
Deficiencies: 1
Apr 29, 2025
Visit Reason
The inspection visit was conducted as a follow-up to review the submitted plan of correction related to an incident involving abuse on the Secured Dementia Care Unit.
Findings
The submitted plan of correction was determined to be fully implemented. The incident involved a resident punching a staff member and the staff member retaliating, leading to the suspension and termination of the staff member. Training and audits were conducted to prevent future abuse.
Deficiencies (1)
| Description |
|---|
| A resident punched a staff person and the staff person retaliated by punching the resident, violating abuse prevention requirements. |
Report Facts
License Capacity: 120
Residents Served: 44
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 23
Current Hospice Residents: 7
Residents Age 60 or Older: 44
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 23
Residents with Physical Disability: 2
Inspection Report
Follow-Up
Census: 30
Capacity: 120
Deficiencies: 6
Dec 16, 2024
Visit Reason
The inspection was a follow-up visit to verify the implementation of a previously submitted plan of correction related to an incident and other compliance issues at Asbury Health Center.
Findings
The report found that the submitted plan of correction was fully implemented, with improvements in reporting suspected abuse, supervision of staff involved in abuse allegations, assistance with activities of daily living, completion of medical evaluations, and adherence to prescriber's orders. Staff education and audits were conducted to ensure ongoing compliance.
Deficiencies (6)
| Description |
|---|
| Failure to immediately report allegations of verbal abuse to the Department of Aging as required by the Older Adult Protective Services Act. |
| Direct care staff person involved in alleged verbal abuse was not immediately suspended or placed on a plan of supervision. |
| Resident was not provided assistance with eating as indicated in the support plan; food was not cut up as required. |
| Annual medical evaluation did not include resident's height. |
| Medical evaluation after status change did not include resident's weight, body positioning, health status, cognitive functioning, and medication list was missing. |
| Failure to follow prescriber's order for proper sling placement on resident's arm; staff refused to reposition arm as ordered. |
Report Facts
License Capacity: 120
Residents Served: 30
Secured Dementia Care Unit Capacity: 24
Secured Dementia Care Unit Residents Served: 19
Current Residents in Hospice: 6
Staffing Hours - Total Daily Staff: 49
Staffing Hours - Waking Staff: 37
Inspection Report
Re-Inspection
Census: 28
Capacity: 120
Deficiencies: 3
Mar 19, 2024
Visit Reason
The inspection was conducted due to a change in legal entity operating the facility and as a partial inspection with a re-inspection planned within 3 months of the license effective date.
Findings
The facility was found to be in substantial compliance with applicable regulations, but citations were noted including issues with privacy due to an inoperable bathroom lock, missing emergency telephone numbers in a resident room, and improper food storage with unsealed food items in kitchen freezers. Plans of correction were directed and implemented.
Deficiencies (3)
| Description |
|---|
| Inoperable lock on the common bathroom door in the 6th floor hallway near bedroom #4627, compromising resident privacy. |
| No emergency telephone numbers posted on or near the telephone in bedroom #4531. |
| Open and unsealed bag of french fries in the 4th floor main kitchen freezer and open and unsealed box of french toast in the 3rd floor kitchen walk-in freezer. |
Report Facts
License Capacity: 120
Residents Served: 28
Secured Dementia Care Unit Capacity: 24
Residents Served in Secure Dementia Care Unit: 17
Current Hospice Residents: 1
Staffing Hours: 45
Waking Staff: 34
Residents with Mobility Need: 17
Residents 60 Years or Older: 28
Residents Diagnosed with Mental Illness: 2
Residents Diagnosed with Intellectual Disability: 1
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