CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Warren Barr North Shore
A list of the most recent deficiencies for Warren Barr North Shore. 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 Warren Barr North Shore. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-01 | 2024-08-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-25 | 2024-03-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-14 | 2024-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-24 | 2024-01-25 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-11-21 | 2024-01-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-11-21 | 2023-12-11 | 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 | 2023-11-21 | 2023-12-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-21 | 2023-12-11 | 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 | 2023-11-21 | 2023-12-08 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-11-08 | 2023-11-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-08 | 2023-11-27 | 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 | 2023-11-08 | 2023-11-27 | 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 | 2023-11-08 | 2023-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-08 | 2023-11-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-08 | 2023-11-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-26 | 2023-10-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-06 | 2023-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-26 | 2023-05-02 | 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 | 2023-04-12 | 2023-04-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-12 | 2023-04-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-02 | 2023-03-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-23 | 2023-03-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-23 | 2023-03-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-23 | 2023-03-01 | 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 | 2023-02-23 | 2023-03-01 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-01-04 | 2023-01-10 | 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 | 2022-12-15 | 2023-01-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-15 | 2023-01-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2023-01-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-15 | 2023-01-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-15 | 2023-01-03 | 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 | 2022-12-15 | 2023-01-03 | 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 | 2022-12-15 | 2023-01-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-15 | 2023-01-03 | 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 | 2022-12-15 | 2023-01-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-15 | 2023-01-03 | 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 | 2022-12-15 | 2023-01-03 | 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 | 2022-12-15 | 2023-01-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-12-15 | 2023-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-15 | 2023-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-15 | 2023-01-03 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-12-16 | 2023-01-03 | N |
| Use approved construction type or materials. | Fire Safety | 2022-12-16 | 2023-01-03 | 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 | 2022-12-16 | 2023-01-03 | 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 | 2022-12-16 | 2023-01-03 | 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 | 2022-12-16 | 2023-01-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-16 | 2023-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-16 | 2023-01-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-16 | 2023-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-16 | 2023-01-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-12 | 2022-10-26 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-10-12 | 2022-10-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-24 | 2022-10-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-24 | 2022-10-25 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2022-10-24 | 2022-10-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-24 | 2022-10-25 | 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 | 2022-08-17 | 2022-08-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-17 | 2022-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-08 | 2022-07-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-27 | 2022-07-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-27 | 2022-07-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-26 | 2022-05-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-16 | 2022-03-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-10 | 2022-03-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-10 | 2022-03-15 | 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 | 2022-03-10 | 2022-03-15 | 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 | 2022-03-10 | 2022-03-15 | 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 | 2022-03-10 | 2022-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-10 | 2022-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-10 | 2022-03-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-03-09 | 2022-03-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-09 | 2022-03-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-03-09 | 2022-03-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-09 | 2022-03-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-09 | 2022-03-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-09 | 2022-03-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-09 | 2022-03-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-01 | 2022-03-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-01 | 2022-02-02 | 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 | 2022-01-06 | 2022-01-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-29 | 2021-11-30 | Y |
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