Aspen Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Aspen Nursing and Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF836Mar 10, 2023

  Based on a review of vendor invoices, as well as interviews with vendors and staff, it was determined that the facility failed to operate in compliance with state regulations and codes. The facility's failure created a situation which placed the residents in immediate jeopardy of the likelihood of serious bodily injury, harm or death. Findings include: 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations, subsection 201.14(g), dated July 24, 1999, revealed that a facility owner shall pay in a timely manner bills incurred in the operation of a facility that are not in dispute and that are for services without which the resident's health and safety are jeopardized. […]

• Immediate jeopardy, patternF689Oct 18, 2024

  Based on review of manufacturer's instructions, clinical records, and written safety and resident information, as well as observations and staff interviews, it was determined that the facility failed to ensure the residents' environment remained as free of accident hazards as is possible by ensuring that mechanical lifts used to transfer residents were equipped with hanger bar latches as required on one of two lifts in use (Invacare 450 Full Body Mechanical Lift), placing the safety of the residents in an Immediate Jeopardy situation. […]

• Actual harm, isolatedF580Mar 10, 2023

  Based on a review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure the physician was notified timely of a change in condition resulting in hospitalization for one of 32 residents reviewed (Resident 2). Findings include: The facility's policy regarding physician notification, dated September 29, 2022, indicated that the physician would be notified in a timely manner when a change in condition involving the resident occurred. […]

• Actual harm, isolatedF684Mar 10, 2023

  Based on a review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure the physician was notified timely of a change in condition resulting in a delay in treatment and hospitalization for arterial occlusions (blood clots) for one of 32 residents reviewed (Resident 2) and failed to address consulting physician's orders timely for one of 32 residents reviewed (Resident 38), resulting in a delay in treatment to control her diabetes. Findings include: The facility's policy regarding physician notification, dated September 29, 2022, indicated that the physician would be notified in a timely manner when a change in condition involving the resident occurred. […]

• Actual harm, isolatedF689May 3, 2021

  Based on review of facility policies, residents' clinical records, and the facility's incident/accident reports, as well as staff interviews, it was determined that the facility failed to ensure that residents received the appropriate amount of supervision while drinking hot liquids for one of seven residents reviewed (Resident 3), resulting in severe pain caused by a burn received when the resident spilled hot coffee onto his skin. Findings include: The facility's policy regarding the safety of hot liquids, dated April 24, 2021, revealed that upon admission, readmission and with changes in condition, residents were to be evaluated for safety concerns and the potential for injury from hot liquids. […]