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Deficiency Records for Springhill Village

A list of the most recent deficiencies for Springhill Village. 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 Springhill Village. 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 implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-17 2023-12-15 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 2023-11-17 2023-12-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-11-17 2023-12-15 N
Ensure that residents are free from significant medication errors. Health 2023-11-17 2023-12-15 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 2023-11-17 2023-12-15 N
Provide and implement an infection prevention and control program. Health 2023-11-17 2023-12-15 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 2022-08-23 2022-09-23 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-08-23 2022-09-23 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-08-23 2022-09-23 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-23 2022-09-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-23 2022-09-23 N
Provide enough food/fluids to maintain a resident's health. Health 2022-08-23 2022-09-23 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-08-23 2022-09-23 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-08-23 2022-09-23 N
Ensure medication error rates are not 5 percent or greater. Health 2022-08-23 2022-09-23 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 2022-08-23 2022-09-23 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-08-23 2022-09-23 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-09-12 2022-09-13 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-09-12 2022-09-13 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-06-23 2022-05-12 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2020-08-11 2020-08-17 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 2020-08-11 2020-08-17 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2020-03-09 2020-04-08 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2020-03-09 2020-04-08 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2020-03-09 2020-04-08 N
Provide and implement an infection prevention and control program. Health 2020-03-09 2020-04-08 N

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