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Deficiency Records for Azure Shores Rehab
A list of the most recent deficiencies for Azure Shores Rehab. 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 Azure Shores Rehab. 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? |
|---|---|---|---|---|
| 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 | 2024-09-26 | 2024-10-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-26 | 2024-10-31 | 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 | 2024-09-26 | 2024-10-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-26 | 2024-10-31 | 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 | 2024-09-26 | 2024-10-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-26 | 2024-10-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-26 | 2024-10-31 | 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 | 2024-09-26 | 2024-10-31 | 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 | 2024-09-26 | 2024-10-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-26 | 2024-10-31 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-09-26 | 2024-10-31 | 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 | 2024-09-26 | 2024-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-26 | 2024-10-31 | N |
| Dispose of garbage and refuse properly. | Health | 2024-09-26 | 2024-10-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-09-26 | 2024-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-24 | 2024-10-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-10 | 2023-10-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-08 | 2023-08-11 | 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 | 2023-06-08 | 2023-08-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-06-08 | 2023-08-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-08 | 2023-07-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-08 | 2023-07-08 | 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 | 2023-06-08 | 2023-07-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-08 | 2023-07-08 | 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 | 2023-06-08 | 2023-07-08 | N |
| Dispose of garbage and refuse properly. | Health | 2023-06-08 | 2023-07-08 | N |
| Keep all essential equipment working safely. | Health | 2023-06-08 | 2023-07-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-06-07 | 2023-07-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-07 | 2023-07-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-16 | 2023-04-17 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-16 | 2023-04-16 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-28 | 2022-06-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-04-28 | 2022-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-28 | 2022-06-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-28 | 2022-06-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-28 | 2022-06-20 | 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 | 2022-04-28 | 2022-06-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-28 | 2022-06-20 | N |
| Keep all essential equipment working safely. | Health | 2022-04-28 | 2022-06-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-28 | 2022-06-20 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-04-28 | 2022-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-28 | 2022-06-20 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2022-04-28 | 2022-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-28 | 2022-06-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-28 | 2022-06-20 | N |
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