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Deficiency Records for Silver Ridge Care
A list of the most recent deficiencies for Silver Ridge 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 Silver Ridge 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? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2023-10-18 | 2024-02-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-03 | 2024-02-07 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-03 | 2024-02-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-03 | 2024-02-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-03 | 2024-02-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-03 | 2024-02-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-03 | 2024-02-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-03 | 2024-02-07 | Y |
| 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 | 2023-10-18 | 2023-11-29 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-03 | 2023-11-29 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-11-03 | 2023-11-29 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-11-03 | 2023-11-29 | Y |
| 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 | 2023-11-03 | 2023-11-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-03 | 2023-11-29 | Y |
| 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 | 2023-11-03 | 2023-11-29 | 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 | 2023-11-03 | 2023-11-29 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-03 | 2023-11-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-03 | 2023-11-29 | 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 | 2023-11-03 | 2023-11-29 | 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 | 2023-11-03 | 2023-11-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-03 | 2023-11-29 | 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 | 2023-11-03 | 2023-11-29 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-11-03 | 2023-11-29 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-11-03 | 2023-11-29 | 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 | 2023-11-03 | 2023-11-29 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-03 | 2023-11-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-03 | 2023-11-29 | Y |
| Dispose of garbage and refuse properly. | Health | 2023-11-03 | 2023-11-29 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-03 | 2023-11-29 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-11-03 | 2023-11-29 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-20 | 2023-04-07 | 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 | 2023-03-20 | 2023-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-20 | 2023-03-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-06-21 | 2019-07-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-21 | 2019-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-21 | 2019-07-26 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-06-21 | 2019-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-21 | 2019-07-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-06-21 | 2019-07-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-09 | 2018-10-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-08-09 | 2018-10-15 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-08-09 | 2018-10-15 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-08-09 | 2018-10-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-09 | 2018-10-15 | N |
| Meet other general requirements. | Fire Safety | 2018-08-09 | 2018-10-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-08-09 | 2018-10-15 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-08-09 | 2018-10-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-20 | 2018-05-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-04-20 | 2018-05-21 | 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 | 2018-04-20 | 2018-05-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-04-20 | 2018-05-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-20 | 2018-05-21 | N |
| Provide appropriate foot care. | Health | 2018-04-20 | 2018-05-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-20 | 2018-05-21 | 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 | 2018-04-20 | 2018-05-21 | 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 | 2018-04-20 | 2018-05-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-20 | 2018-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-20 | 2018-05-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-05-15 | 2017-06-09 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-05-15 | 2017-06-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-05-15 | 2017-06-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-15 | 2017-06-09 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2017-05-15 | 2017-06-09 | N |
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