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Deficiency Records for Shafter Nursing Care
A list of the most recent deficiencies for Shafter Nursing Care. 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 Shafter Nursing Care. 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? |
|---|---|---|---|---|
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-06-13 | 2024-07-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-09 | 2024-04-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-21 | 2024-04-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-21 | 2024-04-17 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-03-20 | 2024-04-07 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-03-20 | 2024-04-07 | Y |
| Provide appropriate foot care. | Health | 2024-03-12 | 2024-04-03 | Y |
| 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 | 2024-02-12 | 2024-03-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-10 | 2024-01-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-08 | 2024-01-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-26 | 2023-11-20 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-10-26 | 2023-11-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-26 | 2023-11-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-26 | 2023-11-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-26 | 2023-11-20 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-26 | 2023-11-20 | 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 | 2023-10-26 | 2023-11-20 | 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 | 2023-10-26 | 2023-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-26 | 2023-11-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-24 | 2023-11-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-24 | 2023-11-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-24 | 2023-11-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-24 | 2023-11-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-31 | 2023-09-15 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-09 | 2023-09-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-09 | 2023-09-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-08 | 2023-06-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-10 | 2023-02-10 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-01-10 | 2023-02-10 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-07-19 | 2022-09-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-19 | 2022-09-01 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-07-19 | 2022-09-01 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-07-19 | 2022-09-01 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-07-07 | 2022-08-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-07 | 2022-08-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-06 | 2022-06-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-06 | 2022-06-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-06 | 2022-06-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-13 | 2022-06-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-13 | 2022-06-14 | Y |
| Provide appropriate foot care. | Health | 2022-05-12 | 2022-06-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-16 | 2022-05-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-24 | 2022-05-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-24 | 2022-05-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-24 | 2022-05-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-30 | 2022-05-04 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-30 | 2022-05-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-05-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-15 | 2021-05-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-04-15 | 2021-05-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-04-15 | 2021-05-12 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-04-15 | 2021-05-12 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-04-15 | 2021-05-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-04-15 | 2021-05-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-15 | 2021-05-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-04-15 | 2021-05-12 | N |
| Provide activities to meet all resident's needs. | Health | 2021-04-15 | 2021-05-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-15 | 2021-05-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-15 | 2021-05-12 | 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 | 2021-04-15 | 2021-05-12 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-04-15 | 2021-05-12 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-04-15 | 2021-05-12 | 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 | 2021-04-15 | 2021-05-12 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-04-15 | 2021-05-12 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-04-15 | 2021-05-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-15 | 2021-05-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-15 | 2021-05-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2021-04-19 | 2021-05-12 | 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 | 2021-04-19 | 2021-05-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-06-19 | 2019-08-02 | 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 | 2019-06-19 | 2019-08-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-19 | 2019-08-02 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-05-16 | 2019-06-13 | 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 | 2019-05-16 | 2019-06-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-16 | 2019-06-13 | 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 | 2019-05-16 | 2019-06-13 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-05-16 | 2019-06-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-16 | 2019-06-13 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-05-16 | 2019-06-13 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-05-16 | 2019-06-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-16 | 2019-06-13 | N |
| Dispose of garbage and refuse properly. | Health | 2019-05-16 | 2019-06-13 | N |
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