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Deficiency Records for South Shore Rehabilitation

A list of the most recent deficiencies for South Shore Rehabilitation. 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 South Shore Rehabilitation. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-09-13 2024-09-14 Y
Conduct testing and exercise requirements. Fire Safety 2024-07-31 2024-08-16 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-07-31 2024-08-13 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 2024-07-31 2024-08-13 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 2024-07-31 2024-08-13 N
Provide properly protected cooking facilities. Fire Safety 2024-07-31 2024-08-13 N
Install an approved automatic sprinkler system. Fire Safety 2024-07-31 2024-08-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-31 2024-08-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-07-31 2024-08-13 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2024-07-31 2024-08-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-07-31 2024-08-13 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-07-31 2024-08-13 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-07-31 2024-08-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-31 2024-08-13 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2024-07-31 2024-08-13 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-07-26 2024-08-09 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-07-26 2024-08-09 N
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 2024-07-26 2024-08-09 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-07-26 2024-08-09 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2024-07-26 2024-08-09 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-07-26 2024-08-09 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-07-26 2024-08-09 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-26 2024-08-09 N
Provide enough food/fluids to maintain a resident's health. Health 2024-07-26 2024-08-09 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-07-26 2024-08-09 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 2024-07-26 2024-08-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-26 2024-08-09 N
Provide or get specialized rehabilitative services as required for a resident. Health 2024-07-26 2024-08-09 N
Provide and implement an infection prevention and control program. Health 2024-07-26 2024-08-09 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-07-26 2024-08-09 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-07-26 2024-08-09 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-07-26 2024-08-09 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-06-05 2024-06-10 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 2024-06-05 2024-06-10 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-06-05 2024-06-10 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-26 2024-02-06 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-18 2023-12-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-18 2023-12-19 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 2023-09-29 2023-10-13 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-29 2023-10-13 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2023-09-29 2023-10-13 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-09-29 2023-10-13 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-09-29 2023-10-13 Y
Establish roles under a Waiver declared by secretary. Fire Safety 2023-07-11 2023-08-03 N
Use approved construction type or materials. Fire Safety 2023-07-11 2023-08-03 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 2023-07-11 2023-08-03 N
Install an approved automatic sprinkler system. Fire Safety 2023-07-11 2023-08-03 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-07-11 2023-08-03 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-07-11 2023-08-03 N
Have proper medical gas storage and administration areas. Fire Safety 2023-07-11 2023-08-03 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2023-07-11 2023-08-03 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-06-14 2023-07-07 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-06-14 2023-07-07 N
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 2023-06-14 2023-07-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-06-14 2023-07-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-14 2023-07-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-06-14 2023-07-07 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-06-14 2023-07-07 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 2023-06-14 2023-07-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-14 2023-07-07 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-06-14 2023-07-07 N
Put firmly secured handrails on each side of hallways. Health 2023-06-14 2023-07-07 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-04-09 2023-04-13 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-03-03 2023-03-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-03 2023-03-17 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 2023-02-09 2023-02-15 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-02-09 2023-02-15 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 2023-02-09 2023-02-15 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2023-02-09 2023-02-15 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-12-23 2023-01-03 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-10-28 2022-11-14 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-10-28 2022-11-14 Y
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Health 2022-10-28 2022-11-14 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 2022-09-16 2022-09-23 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-06-01 2022-08-24 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-07-28 2022-08-09 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 2022-07-28 2022-08-09 Y
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2022-07-28 2022-08-09 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-10 2022-06-21 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-06-10 2022-06-21 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-10 2022-06-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-10 2022-06-21 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-06-01 2022-06-20 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2022-06-01 2022-06-20 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2022-06-01 2022-06-20 N
Address subsistence needs for staff and patients. Fire Safety 2022-06-01 2022-06-20 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2022-06-01 2022-06-20 N
Establish policies and procedures for sheltering. Fire Safety 2022-06-01 2022-06-20 N
Establish policies and procedures for medical documentation. Fire Safety 2022-06-01 2022-06-20 N
Create arrangements with other facilities to receive patients. Fire Safety 2022-06-01 2022-06-20 N
List the names and contact information of those in the facility. Fire Safety 2022-06-01 2022-06-20 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2022-06-01 2022-06-20 N
Establish staff and initial training requirements. Fire Safety 2022-06-01 2022-06-20 N
Implement emergency and standby power systems. Fire Safety 2022-06-01 2022-06-20 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 2022-06-01 2022-06-20 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2022-06-01 2022-06-20 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-06-01 2022-06-20 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-06-01 2022-06-20 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 2022-06-01 2022-06-20 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-06-01 2022-06-20 N
Install an approved automatic sprinkler system. Fire Safety 2022-06-01 2022-06-20 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-06-01 2022-06-20 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-06-01 2022-06-20 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-06-01 2022-06-20 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-06-01 2022-06-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-06-01 2022-06-20 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-06-01 2022-06-20 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-06-01 2022-06-20 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-06-01 2022-06-20 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2022-06-01 2022-06-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-06-01 2022-06-20 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-06-01 2022-06-20 N
Have proper medical gas storage and administration areas. Fire Safety 2022-06-01 2022-06-20 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2022-06-01 2022-06-20 N
Ensure proper storage of liquid oxygen. Fire Safety 2022-06-01 2022-06-20 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-05-25 2022-06-06 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-05-25 2022-06-06 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-05-25 2022-06-06 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-05-25 2022-06-06 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-05-25 2022-06-06 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-05-25 2022-06-06 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-05-25 2022-06-06 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-05-25 2022-06-06 N
Ensure medication error rates are not 5 percent or greater. Health 2022-05-25 2022-06-06 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 2022-05-25 2022-06-06 N
Dispose of garbage and refuse properly. Health 2022-05-25 2022-06-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-11 2022-05-18 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-03-23 2022-04-01 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-11-03 2021-11-03 Y

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