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Deficiency Records for Spring View Manor Healthcare and Rehabilitation
A list of the most recent deficiencies for Spring View Manor Healthcare and 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 Spring View Manor Healthcare and 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? |
|---|---|---|---|---|
| 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 | 2024-06-10 | 2024-07-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-06-10 | 2024-07-10 | 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 | 2024-06-10 | 2024-07-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-10 | 2024-07-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-10 | 2024-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-10 | 2024-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-10 | 2024-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-10 | 2024-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-10 | 2024-06-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-02 | 2024-05-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-02 | 2024-05-30 | N |
| Post nurse staffing information every day. | Health | 2024-05-02 | 2024-05-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-02 | 2024-05-30 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-05-02 | 2024-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-02 | 2024-05-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-02 | 2024-05-30 | N |
| Meet other general requirements. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-09 | 2022-12-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-09 | 2022-12-13 | 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 | 2022-06-02 | 2022-07-06 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Use approved construction type or materials. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-07 | 2021-06-07 | 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 | 2021-05-07 | 2021-06-07 | 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 | 2021-05-07 | 2021-06-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-03-25 | 2021-04-15 | N |
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