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Deficiency Records for South Shore Health and Rehabilitation Center
A list of the most recent deficiencies for South Shore Health and Rehabilitation 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 South Shore Health and Rehabilitation 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? |
|---|---|---|---|---|
| Establish staff and initial training requirements. | Fire Safety | 2024-08-22 | 2024-09-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-08-22 | 2024-09-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-22 | 2024-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-22 | 2024-09-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-22 | 2024-09-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-22 | 2024-09-13 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-08-22 | 2024-09-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-07-24 | 2024-08-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-24 | 2024-08-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-24 | 2024-08-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-24 | 2024-08-21 | N |
| Provide or obtain dental services for each resident. | Health | 2024-07-24 | 2024-08-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-24 | 2024-08-21 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-07-24 | 2024-08-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-24 | 2024-08-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-24 | 2024-08-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-24 | 2024-08-21 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-04-30 | 2024-05-30 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-30 | 2024-05-30 | Y |
| Post nurse staffing information every day. | Health | 2024-04-30 | 2024-05-30 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-30 | 2024-05-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-30 | 2024-05-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-04-30 | 2024-05-30 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-01-30 | 2024-02-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-30 | 2024-02-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-28 | 2023-10-24 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-09-28 | 2023-08-18 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-10 | 2023-08-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-10 | 2023-08-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-10 | 2023-08-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-10 | 2023-08-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-10 | 2023-08-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-10 | 2023-08-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-10 | 2023-08-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-10 | 2023-08-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-09 | 2023-08-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-09 | 2023-08-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-09 | 2023-08-01 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-09 | 2023-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-09 | 2023-08-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-09 | 2023-08-01 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-06-09 | 2023-08-01 | 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 | 2023-06-09 | 2023-08-01 | 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 | 2023-06-09 | 2023-08-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-09 | 2023-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-09 | 2023-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-09 | 2023-08-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-09 | 2023-08-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-01 | 2023-04-20 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-01 | 2023-04-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-01 | 2023-04-20 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-15 | 2022-10-20 | Y |
| 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 | 2022-07-05 | 2022-07-27 | 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 | 2022-07-05 | 2022-07-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-07-05 | 2022-07-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-05 | 2022-07-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-05 | 2022-07-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-05 | 2022-07-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-05 | 2022-07-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-05 | 2022-07-27 | 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 | 2022-05-31 | 2022-07-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-31 | 2022-07-19 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-05-31 | 2022-06-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-31 | 2022-06-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-31 | 2022-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-31 | 2022-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-31 | 2022-06-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-05-31 | 2022-06-30 | 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 | 2022-05-31 | 2022-06-30 | 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 | 2022-05-31 | 2022-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-31 | 2022-06-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-31 | 2022-06-30 | N |
| 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 | 2022-05-31 | 2022-06-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-31 | 2022-06-30 | 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 | 2022-05-31 | 2022-06-30 | 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 | 2022-05-31 | 2022-06-30 | N |
| Provide or obtain dental services for each resident. | Health | 2022-05-31 | 2022-06-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-31 | 2022-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-31 | 2022-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-31 | 2022-06-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-31 | 2022-06-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-08 | 2022-05-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-04-08 | 2022-05-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-06 | 2022-01-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2021-12-26 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-12-09 | 2021-12-26 | N |
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