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Deficiency Records for Skylake Post Acute
A list of the most recent deficiencies for Skylake Post Acute. 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 Skylake Post Acute. 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 that residents are fully informed and understand their health status, care and treatments. | Health | 2024-06-14 | 2024-07-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-14 | 2024-07-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-14 | 2024-07-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-14 | 2024-07-19 | Y |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2024-06-14 | 2024-07-19 | 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 | 2024-02-06 | 2024-03-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-06 | 2024-03-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-02-06 | 2024-03-22 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2024-02-06 | 2024-03-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-06 | 2024-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-06 | 2024-03-08 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-02-06 | 2024-03-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-06 | 2024-03-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-06 | 2024-03-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-06 | 2024-03-02 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-01-09 | 2024-02-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-02-06 | 2024-02-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-06 | 2024-02-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-09 | 2024-02-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-06 | 2024-02-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-06 | 2024-02-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-06 | 2024-02-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-06 | 2024-02-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-06 | 2024-02-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-09 | 2024-02-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-09 | 2024-02-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-09 | 2024-02-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-01-09 | 2024-02-03 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-01-09 | 2024-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-09 | 2024-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-09 | 2024-02-03 | N |
| Keep all essential equipment working safely. | Health | 2024-01-09 | 2024-02-03 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-01-09 | 2024-02-03 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-01-09 | 2024-02-03 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-01-09 | 2024-02-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-09 | 2024-02-03 | Y |
| 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 | 2024-01-09 | 2024-02-03 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-09 | 2024-02-03 | 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 | 2024-01-09 | 2024-02-03 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Develop a communication plan. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Establish methods for sharing information. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-10-06 | 2022-11-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-06 | 2022-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-06 | 2022-10-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-06 | 2022-10-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-06 | 2022-10-15 | 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 | 2022-10-06 | 2022-10-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-06 | 2022-10-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-06 | 2022-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-06 | 2022-10-10 | N |
| Have an externally vented heating system. | Fire Safety | 2022-10-06 | 2022-10-07 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-10-06 | 2022-10-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-16 | 2022-09-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-09-16 | 2022-09-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-16 | 2022-09-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-16 | 2022-09-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-27 | 2022-05-13 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-04-27 | 2022-05-13 | Y |
| 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 | 2022-04-27 | 2022-05-13 | Y |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2019-09-26 | 2019-12-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-09-26 | 2019-12-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-26 | 2019-12-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-26 | 2019-12-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-26 | 2019-12-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-09-12 | 2019-10-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-12 | 2019-10-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-12 | 2019-10-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-12 | 2019-10-16 | N |
| Provide activities to meet all resident's needs. | Health | 2019-09-12 | 2019-10-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-09-12 | 2019-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-12 | 2019-10-16 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-09-12 | 2019-10-16 | N |
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