Ashford Gardens

In the surveyor’s words

From the most serious findings on record at Ashford Gardens, in the surveyor’s own words.

• Immediate jeopardy, patternF686May 17, 2024

  Based on observation, interview and record review, the facility failed to identify and ensure that residents received the necessary treatment and services, to promote healing and prevent infection for 2 of 9 residents (CR#1 and Resident #2) reviewed for pressure ulcer in that: -The facility failed to identify and treat pressure sore on CR#1's penis, left foot 5th toe, Right Toe Digit 1, great -The facility failed to provide CR#1 with an air mattress for 20 days with multiple diagnoses of Stage 4 pressure ulcers. […]

• Immediate jeopardy, isolatedF678Mar 21, 2022

  Based on interview and record review, the facility failed to ensure that personnel provide basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . -The facility failed to initiate and conduct CPR immediately after finding CR#1 unresponsive. -The facility failed to immediately contact 911 for EMS services; EMS was not contacted until approximately 31 minutes after the resident was found unresponsive. -The facility to perform CPR appropriately as LVN B instructed a CNA to clean CR#1 of a bowel movement. […]

• No harm, potential for more than minimal, widespreadF880Jan 10, 2025

  Based on observations, interviews, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 1 facility and 2 of 16 residents (Resident #217 and Resident #218) reviewed for infection control. 1. The facility failed to establish and provide documentation for a water management program as part of the infection control program. 2. The facility failed to ensure Housekeeper L wore the appropriate PPE for contact precautions when she was cleaning the room for Resident #217. 3. […]

• No harm, potential for more than minimal, widespreadF804Oct 27, 2023

  Based on interview, record review and observation, the facility failed to ensure each resident was provided with food prepared by methods that conserve nutritive value, flavor, and appearance and is nourishing, palatable, attractive and at a safe and appetizing temperature for 1 of 1 kitchens in the facility. -The facility failed to ensure the dessert cook prepared food according to the recipe and utilized all ingredients in the specified amounts which resulted in residents receiving food that did not have nutritive value and flavor. This failure had the potential to affect all facility residents who consumed food from the facility's kitchen. […]

• No harm, potential for more than minimal, widespreadF812May 28, 2021

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. -The facility failed to ensure dishes, utensils, and pots/pans were cleaned under sanitary conditions. -Facility staff failed to test for proper chemical sanitation in the manual wash/3-compartment sink. -Facility staff failed to demonstrate proper use of test strips to establish accurate chemical sanitation in the manual wash/3-compartment sink. -Facility staff failed to monitor ware-washing equipment to ensure adequate temperature was reached to for sanitary cleaning. This failure could place residents at risk of foodborne illness, inadequate sanitation, and cross-contamination. […]