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Deficiency Records for Siloam Healthcare, LLC
A list of the most recent deficiencies for Siloam Healthcare, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Siloam Healthcare, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2025-01-17 | 2025-02-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-17 | 2025-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-17 | 2025-02-14 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-01-17 | 2025-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-17 | 2025-02-14 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2025-01-17 | 2025-02-14 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-01-16 | 2025-02-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-16 | 2025-02-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-15 | 2024-01-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-15 | 2024-01-14 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-12-15 | 2024-01-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-15 | 2024-01-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-15 | 2024-01-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-15 | 2024-01-14 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-12-14 | 2024-01-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-14 | 2024-01-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-09 | 2023-05-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-06 | 2023-02-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-09 | 2022-10-09 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-09-09 | 2022-10-09 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-09-09 | 2022-10-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-09 | 2022-10-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-09 | 2022-10-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-09 | 2022-10-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-09 | 2022-10-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-09 | 2022-10-09 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-09-09 | 2022-10-09 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-09-09 | 2022-10-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-09 | 2022-10-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-09 | 2022-10-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-09 | 2022-10-09 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-09-09 | 2022-10-09 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-09 | 2022-10-09 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-09-09 | 2022-10-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-09 | 2022-10-09 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-09-09 | 2022-10-09 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-09 | 2022-10-09 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-09-08 | 2022-10-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-08 | 2022-10-09 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-09-09 | 2022-09-09 | N |
| Report COVID19 data to residents and families. | Health | 2022-09-09 | 2022-09-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-20 | 2022-07-20 | Y |
| Provide appropriate foot care. | Health | 2022-06-20 | 2022-07-20 | Y |
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