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Deficiency Records for Sharon Health Care Elms
A list of the most recent deficiencies for Sharon Health Care Elms. 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 Sharon Health Care Elms. 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 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 | 2023-12-07 | 2023-12-14 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-03 | 2023-11-16 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-03 | 2023-11-16 | 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 | 2023-11-16 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-10-10 | 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 | 2023-09-14 | 2023-10-10 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-14 | 2023-10-06 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-14 | 2023-10-06 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-14 | 2023-10-06 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-14 | 2023-10-06 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-14 | 2023-10-06 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-09-14 | 2023-10-06 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-14 | 2023-10-06 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-14 | 2023-10-06 | 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 | 2023-09-14 | 2023-10-06 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-09-14 | 2023-10-06 | N |
Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-06 | Y |
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-13 | 2023-10-02 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-13 | 2023-10-02 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-13 | 2023-10-02 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-09-13 | 2023-10-02 | N |
Ensure that residents are free from significant medication errors. | Health | 2023-08-30 | 2023-09-15 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-24 | 2023-09-08 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-05 | 2023-07-21 | Y |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-07-05 | 2023-07-21 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-09 | 2023-07-01 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-09 | 2023-07-01 | Y |
Respond appropriately to all alleged violations. | Health | 2023-06-09 | 2023-07-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-09 | 2023-07-01 | 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 | 2023-05-26 | 2023-06-16 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-05-26 | 2023-06-16 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-12 | 2023-04-27 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-12 | 2023-04-27 | Y |
Respond appropriately to all alleged violations. | Health | 2023-04-12 | 2023-04-27 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-21 | 2023-04-12 | 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 | 2023-03-21 | 2023-04-12 | 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 | 2023-03-21 | 2023-04-12 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-28 | 2022-11-28 | 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 | 2022-11-18 | 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 | 2022-10-28 | 2022-11-18 | Y |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-10-28 | 2022-11-18 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-10-28 | 2022-11-18 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-15 | 2022-11-17 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-20 | 2022-11-17 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-20 | 2022-11-17 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-15 | 2022-10-18 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-15 | 2022-10-18 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-15 | 2022-10-18 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-09-15 | 2022-10-18 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-20 | 2022-10-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-27 | 2022-10-07 | Y |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-09-20 | 2022-10-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-20 | 2022-10-06 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-09-20 | 2022-10-06 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-20 | 2022-10-06 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-20 | 2022-10-06 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-03 | 2022-03-11 | Y |
Provide a written emergency evacuation plan. | Fire Safety | 2022-02-08 | 2022-03-03 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-13 | 2022-01-18 | Y |
Provide family notifications of emergency plan. | Fire Safety | 2021-07-29 | 2021-08-20 | N |
Establish staff and initial training requirements. | Fire Safety | 2021-07-29 | 2021-08-19 | N |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2021-08-02 | 2021-08-18 | N |
Conduct testing and exercise requirements. | Fire Safety | 2021-07-29 | 2021-08-18 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-08-02 | 2021-08-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-02 | 2021-08-17 | 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 | 2021-08-02 | 2021-08-17 | 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 | 2021-08-02 | 2021-08-17 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2021-07-29 | 2021-08-17 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2021-07-29 | 2021-08-17 | N |
List the names and contact information of those in the facility. | Fire Safety | 2021-07-29 | 2021-08-17 | N |
Provide emergency officials' contact information. | Fire Safety | 2021-07-29 | 2021-08-13 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-07-29 | 2021-08-12 | N |
Implement emergency and standby power systems. | Fire Safety | 2021-07-29 | 2021-08-12 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-29 | 2021-08-12 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-29 | 2021-08-12 | N |
Establish policies and procedures for medical documentation. | Fire Safety | 2021-07-29 | 2021-08-09 | N |
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