Inspection Reports for Asbury Village

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-09-03.

All deficiencies have been corrected as of the compliance date of 2024-09-06, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The document is a Plan of Correction related to an abbreviated survey conducted for complaints #190122 at the facility on 09/03/2024.

The Plan of Correction addresses findings from an abbreviated survey triggered by complaints at the facility. Specific deficiencies are not detailed in this document.

The visit was complaint-related for complaints #190122.

The inspection was an abbreviated survey conducted in response to complaints #190122 regarding the facility's failure to perform required functional capacity screenings and to review and revise the Negotiated Service Agreement for a resident after changes in condition.

The facility failed to perform a functional capacity screening for Resident 1 following a significant change in condition and did not review or revise the resident's Negotiated Service Agreement after the resident was identified as a moderate elopement risk and experienced behavioral and physical decline.

The visit was complaint-driven based on complaint #190122. The complaints involved failure to conduct required functional capacity reassessments and to update service agreements following changes in resident condition. The complaints were substantiated as evidenced by the cited deficiencies.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-06-27.

All deficiencies have been corrected as of the compliance date of 2024-07-10, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a licensure resurvey conducted on 06/26/24 and 06/27/24 to assess compliance with state regulations for the facility.

The facility was found deficient in multiple areas including failure to identify responsible parties for administration of selected medications in the negotiated service agreement, improper medication storage including use of expired Tubersol testing solution and unsecured over-the-counter medications, and failure to conduct quarterly reviews of the emergency preparedness management plan with staff and residents.

The document is a Plan of Correction submitted in response to findings from the licensure resurvey conducted on June 26 and June 27, 2024.

The Plan of Correction addresses citations identified during the licensure resurvey of the facility conducted on June 26 and 27, 2024.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-01-25.

All deficiencies have been corrected as of the compliance date of 2023-01-31, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The document is a plan of correction submitted in response to findings from the licensure resurvey conducted on 01/23/23, 01/24/23, and 01/25/23.

The plan of correction addresses citations identified during the licensure resurvey of the facility conducted over three days in January 2023.

The inspection was a licensure resurvey conducted over three days (01/23/23 to 01/25/23) to assess compliance with regulatory requirements for the assisted living facility.

The facility failed to ensure that the Negotiated Service Agreement (NSA) included a description of all services, the provider of services, and the payor source for physical and occupational therapy for a sampled resident. Additionally, the facility failed to ensure food served to residents was at the proper temperature after transport from a satellite kitchen due to lack of temperature checks upon arrival.

The special infection control survey for COVID-19 was conducted at the facility on 07/14/2020.

The survey resulted in findings of no deficiency citations.

This revisit report documents the correction of deficiencies previously cited during an earlier survey, verifying that corrective actions were completed as of the revisit date.

All previously reported deficiencies identified by regulation or Life Safety Code provisions were corrected and completed by the revisit date of 04/15/2019.

The inspection was a licensure resurvey conducted over three days (2/25/19 to 2/27/19) to assess compliance with regulatory requirements for the assisted living facility.

The facility was found deficient in multiple areas including failure to identify responsible payors in negotiated service agreements for outside services, improper administration of PRN medications by certified medication aides without nurse consultation, inadequate labeling of over-the-counter medications, breach of resident confidentiality by publicly displaying resident information, and incomplete documentation of incidents and symptoms for a resident requiring emergency medical services.

This report documents a revisit inspection to verify that previously reported deficiencies have been corrected and to confirm the dates such corrective actions were accomplished.

The revisit inspection confirmed that the previously cited deficiency related to regulation 26-41-104 (d) was corrected as of 04/11/2017. No other deficiencies or issues were noted in this report.

The inspection was a resurvey conducted on 3-29-17, 3-30-17, and 4-3-17 to assess compliance with previously cited deficiencies at Asbury Village, a residential health care facility.

The facility was found deficient in multiple areas including failure to ensure signatures on negotiated service agreements, inadequate coordination of health care services, lack of medication self-administration assessments, improper medication storage, insufficient medication disposition records, lack of quarterly emergency management plan reviews, and non-compliance with tuberculosis screening guidelines for staff and residents.

This was a licenser re-survey at the residential health care facility to verify compliance and check for deficiencies.

The re-survey resulted in a finding of no deficiency citations on 5-20-15 and 5-21-15.

The visit was a licensure resurvey of the residential health care facility to assess compliance with licensing requirements.

The licensure resurvey resulted in no deficiency citations on the dates 2013-03-10 and 2013-03-11.