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Deficiency Records for Shoreline Healthcare Center
A list of the most recent deficiencies for Shoreline Healthcare Center. 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 Shoreline Healthcare Center. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-14 | 2024-05-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-14 | 2024-05-03 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-04-14 | 2024-05-03 | 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 | 2024-04-14 | 2024-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-14 | 2024-05-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-14 | 2024-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-14 | 2024-05-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-04-14 | 2024-05-03 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-04-14 | 2024-05-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-04-14 | 2024-05-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-04-14 | 2024-05-03 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-04-14 | 2024-05-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-14 | 2024-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-14 | 2024-05-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-25 | 2023-10-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-19 | 2023-06-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-23 | 2022-08-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-23 | 2022-08-31 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-11-22 | 2021-12-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-11-22 | 2021-12-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-22 | 2021-12-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-22 | 2021-12-27 | 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 | 2021-11-22 | 2021-12-27 | 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 | 2021-11-22 | 2021-12-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-22 | 2021-12-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-22 | 2021-12-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-22 | 2021-12-27 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-22 | 2021-12-27 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2021-11-22 | 2021-12-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-22 | 2021-12-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-22 | 2021-12-27 | 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 | 2021-11-22 | 2021-12-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-22 | 2021-12-27 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-16 | 2021-12-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-16 | 2021-12-09 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-11-16 | 2021-12-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-16 | 2021-12-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-16 | 2021-12-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-18 | 2019-11-25 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-10-18 | 2019-11-25 | 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 | 2019-10-18 | 2019-11-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-18 | 2019-11-25 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-10-18 | 2019-11-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-10-18 | 2019-11-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-18 | 2019-11-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-18 | 2019-11-25 | 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 | 2019-10-18 | 2019-11-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-18 | 2019-11-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-18 | 2019-11-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-10-18 | 2019-11-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-18 | 2019-11-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-18 | 2019-11-25 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-10-18 | 2019-11-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-18 | 2019-11-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-18 | 2019-11-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-18 | 2019-11-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-18 | 2019-11-25 | N |
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