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Deficiency Records for Premier at The Springs
A list of the most recent deficiencies for Premier at The Springs. 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 Premier at The Springs. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-08 | 2024-06-07 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-08 | 2024-06-07 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-05-08 | 2024-06-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-08 | 2024-06-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-08 | 2024-06-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-08 | 2024-06-07 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-05-08 | 2024-06-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-08 | 2024-06-07 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-05-08 | 2024-06-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-05-08 | 2024-06-07 | N |
| 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 | 2024-05-08 | 2024-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-08 | 2024-06-07 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-08 | 2024-06-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-08 | 2024-06-07 | Y |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-05-07 | 2024-06-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-03 | 2023-03-24 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-03-03 | 2023-03-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-03 | 2023-03-24 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-03 | 2023-03-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-03 | 2023-03-24 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-03-03 | 2023-03-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-03 | 2023-03-24 | 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 | 2023-03-03 | 2023-03-24 | N |
| 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 | 2023-03-03 | 2023-03-24 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-03-03 | 2023-03-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-03 | 2023-03-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-01 | 2023-03-16 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-03 | 2023-03-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-10-21 | 2022-11-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-21 | 2022-11-11 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-10-21 | 2022-11-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-10 | 2022-09-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-10 | 2022-09-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-10 | 2022-09-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-10 | 2022-09-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-10 | 2022-09-09 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-05-11 | 2022-06-11 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-03-30 | 2022-04-30 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-30 | 2022-04-30 | Y |
| Report COVID19 data to residents and families. | Health | 2022-02-11 | 2022-03-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-10 | 2021-12-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-10 | 2021-12-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-11-10 | 2021-12-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-10 | 2021-12-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-10 | 2021-12-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-10 | 2021-12-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-10 | 2021-12-10 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-11-10 | 2021-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-10 | 2021-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-10 | 2021-12-10 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-11-10 | 2021-12-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-11-08 | 2021-12-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-08 | 2021-12-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-08 | 2021-12-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-08 | 2021-12-10 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-11-10 | 2021-11-10 | N |
| Dispose of garbage and refuse properly. | Health | 2021-11-10 | 2021-11-10 | N |
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