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Deficiency Records for Shawnee Rose Care Center
A list of the most recent deficiencies for Shawnee Rose Care Center. 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 Shawnee Rose Care Center. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-10 | 2024-04-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-28 | 2024-04-10 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-03-28 | 2024-04-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-03-28 | 2024-04-10 | 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 | 2024-01-31 | 2024-03-05 | 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 | 2024-02-13 | 2024-02-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-31 | 2024-02-20 | 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 | 2023-12-29 | 2024-02-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-29 | 2024-02-20 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-12-14 | 2023-12-27 | 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 | 2023-10-27 | 2023-11-07 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-10-27 | 2023-11-07 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-29 | 2023-07-10 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-31 | 2023-06-13 | 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 | 2023-05-31 | 2023-06-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-31 | 2023-06-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-05-31 | 2023-06-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-31 | 2023-06-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-31 | 2023-06-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-31 | 2023-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-31 | 2023-06-13 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-05-12 | 2023-05-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-12 | 2023-05-26 | 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 | 2023-05-12 | 2023-05-26 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-05-12 | 2023-05-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-02 | 2022-08-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-02 | 2022-08-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-02 | 2022-08-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-02 | 2022-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-02 | 2022-08-15 | N |
| Provide activities to meet all resident's needs. | Health | 2022-07-28 | 2022-08-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-02 | 2022-08-03 | N |
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