Inspection Reports for Frederick Living – Aspen Village

The inspection was conducted as a renewal review of the facility license to verify compliance and implementation of the submitted plan of correction.

The facility was found to have deficiencies related to maintaining a current list of substitute personnel, annual staff training in fire safety, incomplete staff training plan dates, and improper medication storage practices. Plans of correction were accepted and implemented by the facility.

The visit was an unannounced partial inspection conducted as a follow-up to review the submitted plan of correction for the facility.

The inspection found multiple deficiencies including missing resident contract signatures, abuse involving a staff member physically and verbally mistreating a resident, failure to follow safe management techniques, and lack of documentation for resident admission to the Secure Dementia Care Unit. The submitted plan of correction was accepted and fully implemented by the facility.

The inspection was conducted as a renewal review of the Frederick Living - Aspen Village facility to assess compliance with applicable regulations and verify the implementation of the submitted plan of correction.

The inspection identified multiple deficiencies including lack of a ServSafe certified staff member on schedule, missing criminal background check for a contractor, insufficient first aid/CPR trained staff during certain shifts, evacuation time exceeding the maximum safe limit, incomplete posting of weekly menus, and deficiencies in resident support plans related to bedside mobility devices and missing resident signatures.

The inspection was a monitoring visit conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 02/05/2024 to review the facility's compliance and plan of correction implementation.

The inspection found multiple deficiencies including failure to maintain a current list of all staff including substitutes, lack of annual fire safety training by a qualified expert, inadequate system to safeguard resident laundry, incomplete support plans for residents addressing behavioral and communication needs, and missing inventories of residents' personal property in records. The submitted plan of correction was determined to be fully implemented as of the inspection date.

The inspection was a partial, unannounced follow-up visit conducted due to an incident, to review the submitted plan of correction.

The submitted plan of correction was determined to be fully implemented, with continued compliance required. Two deficiencies were noted: missing criminal background check for a staff member and a malfunctioning exit door in the memory care unit.

The inspection was conducted as a renewal and incident review of the Frederick Living - Aspen Village facility on 09/20/2023 and 09/22/2023.

The inspection identified multiple deficiencies including failure to immediately report suspected resident abuse, incomplete medical evaluations, inadequate staff training in fire safety and medication administration, lack of updated assessments for aggressive behavior, and missing conspicuous posting of directions for key-locking devices. The submitted plan of correction was determined to be fully implemented as of 02/12/2024.

The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a submitted plan of correction.

The facility was found to have fully implemented the plan of correction addressing deficiencies related to direct care staff qualifications, fire safety orientation, initial direct care training, and resident assessments. Continued compliance must be maintained.

The inspection was conducted as a follow-up to review the submitted plan of correction related to an incident and record content deficiencies identified in the facility.

The facility was found to have fully implemented the submitted plan of correction regarding the final incident report and record content deficiencies, including missing resident information and incident reports in resident records.

The inspection was a renewal visit conducted on 05/25/2022 to review compliance with licensing requirements for Frederick Living - Aspen Village.

The facility was found to have deficiencies related to incomplete fire drill records, failure to sound the fire alarm during a fire drill due to a COVID outbreak, and improper labeling of an opened medication bottle. Plans of correction were accepted and implemented for all deficiencies.

The inspection was a partial, unannounced follow-up visit conducted on 04/15/2022 to verify the implementation of a previously submitted plan of correction related to an incident.

The facility was found to have fully implemented the submitted plan of correction addressing multiple violations related to resident abuse reporting, supervision, notification, incident reporting, treatment of residents, and staff orientation and training. Continued compliance is required.

The document serves as a renewal notification and license issuance for Frederick Living - Aspen Village Personal Care Home, confirming receipt of the renewal application and advising of an upcoming annual inspection within twelve months.

No inspection findings are reported in this document; it is a license renewal notice with a certificate of compliance.

The inspection was conducted as a renewal inspection of the Frederick Living - Aspen Village facility on 05/13/2021.

The inspection found that the facility had fully implemented the submitted plan of correction. Deficiencies included failure to post the current licensing inspection summary and regulations in a public area, absence of a bedside table next to a resident's bed, and lack of availability of a prescribed flu vaccine within the unit. Corrective actions were accepted and implemented during or shortly after the inspection.