Aspire Senior Living Oak Grove

In the surveyor’s words

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

• Actual harm, isolatedF684Apr 20, 2026

  Based on observation, interview and record review, the facility failed to ensure to follow Insulin manufactures safety guidelines regarding giving long-acting insulin with reported low blood sugars; failed to ensure to obtain and transcribe long-acting insulin parameters action to take related to low blood sugars for one sampled resident (Resident #89) who had a history of low blood sugars and was sent to the emergency room after receiving long acting insulin after a confirmed low blood sugar; and failed to ensure hospice (end of life care) orders included diagnosis for one sampled resident (Resident #10) out of 19 sampled residents. The facility resident census of 86 residents. […]

• No harm, potential for more than minimal, widespreadF887Apr 20, 2026

  Based on interview and record review, the facility failed to ensure the infection control and prevention program had ongoing immunization monitoring and documentation of the screening and eligibility process to receive the COVID-19 (an infectious respiratory illness caused by the SARS-CoV-2 virus, highly contagious, spreading mainly through respiratory droplets) vaccine; failed to provide and document education related to the COVID-19 benefits and potential side effects of the vaccine, for four sampled residents (Resident #12, #60, #81 and #89) out of five sampled residents who did not have a separate consent or refusal form for COVID-19 completed to include with acknowledgement of risk and benefits of the COVID-19 vaccine. […]

• No harm, potential for more than minimal, widespreadF947Apr 20, 2026

  Based on interview and record review, the facility failed to provide the required 12 hours of nurse aide in-service training either at the time of hire or within the last 12 months that included the topics of dementia (a progressive mental disorder causing confusion, and impairment of control, memory, judgement, and impulses), Abuse, Neglect and Exploitation (ANE) and behavior management (focuses on person-centered, non-pharmacological approaches to address challenging behaviors (e.g., aggression, wandering) as communication of unmet needs) for four sampled Certified Nursing Assistants (CNA H, CNA L, CNA J, and CNA K) and failed to provide the required training for the topic of dementia and behavior management for one sampled CNA (CNA E) out of five sampled employees. […]

• No harm, potential for more than minimal, widespreadF880Nov 16, 2022

  Based on observation, interview, and record review, the facility failed to meet all the requirements for a comprehensive, facility-specific infection prevention and control program designed to help prevent the development and transmission of water-borne pathogens (a bacterium, virus, or other microorganism that can cause disease), including documented assessments for such an outbreak and a plan to deal with them, in accordance with Centers for Medicare and Medicaid Services (CMS) guidelines. This deficient practice had the potential to affect all residents, visitors, volunteers, and staff who resided, visited, used, or worked in the facility. […]

• No harm, potential for more than minimal, patternF584Apr 20, 2026

  Based on observation and interview, the facility failed to maintain the restroom ceiling vents free of a heavy buildup of dust in resident rooms, on the 300 Hall, the 100 Hall and the 200 Hall; failed to maintain the ceiling vents in the shower rooms located in the Special Care Unit (SCU) and the 200 Hall free of a heavy buildup of dust; failed to maintain the ceiling vents in the Special Care Unit (SCU) and main dining rooms free from a heavy buildup of dust; failed to maintain the floors in resident rooms 319, 320, 317, 307, 109, 210, 206, in good repair; failed to maintain the restroom floor in resident room [ROOM NUMBER] free of grime; failed to maintain a shower mat in the 200 Hall shower room in an easily cleanable condition because there were damaged areas in the shower mat; and… […]