Aspire Senior Living New Florence

In the surveyor’s words

From the most serious findings on record at Aspire Senior Living New Florence, in the surveyor’s own words.

• Actual harm, isolatedF658Oct 29, 2024

  See event ID PY0C12. Based on interview, and record review, facility staff failed to maintain professional standards of practice when staff failed to document wound treatments for one resident (Resident #1), whose wound became infected, out of three sampled residents and failed to perform neurological assessments for one resident (Resident #1) out of three sampled residents after a fall. The facility census was 51.

• Actual harm, isolatedF658Sep 6, 2024

  Based on interview, and record review, facility staff failed to maintain professional standards of practice when staff failed to document wound treatments for one resident (Resident #1), whose wound became infected, out of three sampled residents and failed to perform neurological assessments for one resident (Resident #1) out of three sampled residents after a fall. The facility census was 51. 1. Review of the facility's policy titled, Physician Orders, dated 02/2022, showed staff are directed to follow physician's orders. Physician's orders will be entered into the electronic medical record (EMR) as soon as practicable once received from the physician. […]

• Actual harm, isolatedF658Sep 6, 2024

  Based on interview, and record review, facility staff failed to maintain professional standards of practice when staff failed to document wound treatments for one resident (Resident #1), whose wound became infected, out of three sampled residents and failed to perform neurological assessments for one resident (Resident #1) out of three sampled residents after a fall. The facility census was 51. 1. Review of the facility's policy titled, Physician Orders, dated 02/2022, showed staff are directed to follow physician's orders. Physician's orders will be entered into the electronic medical record (EMR) as soon as practicable once received from the physician. […]

• Actual harm, isolatedF580Mar 20, 2024

  Based on interview and record review, facility staff failed to notify one resident's (Resident #1) family and physician in a timely manner when staff identified the residents second and third toes on his/her right foot swollen, red, white, macerated, draining serosanguinous fluid (contains or relates to both blood and the liquid part of blood (serum) which resulted in the resident being sent to the hospital and his/her second right toe amputated. The facility census was 50. 1. Review of the facility policy change of condition, revised February 2019, showed staff are directed to observe, record, and report any condition change to the attending physician to ensure proper treatment will be implemented. Review showed staff are directed to notify the resident's responsible party. 2. […]

• No harm, potential for more than minimal, widespreadF881Nov 17, 2025

  Based on interview and record review, facility staff failed to implement an Antibiotic Stewardship Program with antibiotic use protocols and a system to monitor and track antibiotic use within the facility. The facility census was 50.1. Review of the facility's policy titled, Antibiotic Stewardship, undated, showed the purpose is to develop and implement protocols to optimize the treatment of infections by ensuring the residents who require an antibiotic, are prescribed the appropriate antibiotic. Reduced the risk of adverse events, including the development of antibiotic-resistant organisms, from unnecessary or inappropriate antibiotic use. […]