Inspection Reports for
Asbury Heights

The visit was complaint-related, involving a resident-to-resident abuse incident that was substantiated and addressed through a plan of correction.

The submitted plan of correction was determined to be fully implemented with continued compliance required. The report details a resident-to-resident abuse incident and subsequent corrective actions including staff reeducation and ongoing resident safety monitoring.

The inspection identified multiple deficiencies including medication errors, privacy violations, sanitary condition issues, improper storage of food, use of prohibited portable space heaters, missed fire drills, and incomplete medical evaluations. The facility submitted plans of correction which were implemented by the report date.

The waiver is granted based on submitted documentation of educational qualifications obtained outside the United States, with conditions for maintaining records and annual review during inspections.

The waiver is granted based on submitted documentation that the staff member's education outside the United States is equivalent to a U.S. high school diploma. The waiver is subject to conditions including maintaining documentation and annual review during inspections.

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.

The waiver is granted under specific conditions including documentation of educational qualifications to be kept on file and subject to annual review during inspections. Noncompliance with these conditions may result in termination of the waiver or other licensing actions.

The waiver allows a specified employee to serve as direct care staff based on education obtained outside the United States, equivalent to a U.S. high school diploma, with conditions for documentation and annual review.

The waiver is granted based on documentation that the staff member's education outside the United States is equivalent to 52 undergraduate credits at a regionally accredited U.S. college or university. The Department will review this waiver annually during inspections to ensure compliance.

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.

The waiver is granted under specific conditions including documentation of equivalency and record-keeping requirements. The Department will review this waiver annually during inspections to ensure compliance.

The waiver allows the facility to use preadmission screening and medical evaluation forms from Point, Click, Care instead of Department-specified forms. The Department will review compliance with these conditions during the annual inspection and may terminate the waiver or take licensing action if conditions are not met.

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.