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Deficiency Records for Spring Lake Skilled Nursing and Rehabilitation
A list of the most recent deficiencies for Spring Lake Skilled Nursing 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 Lake Skilled Nursing 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-05 | 2024-07-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-05 | 2024-07-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-06-05 | 2024-07-12 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-15 | 2023-09-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-15 | 2023-09-12 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-08-15 | 2023-09-12 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-08-09 | 2023-09-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-09 | 2023-09-04 | 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 | 2023-08-09 | 2023-09-04 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-09 | 2023-09-04 | 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 | 2023-06-21 | 2023-07-19 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-07-27 | 2022-09-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-27 | 2022-09-09 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2022-07-27 | 2022-09-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-27 | 2022-09-09 | 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 | 2022-08-05 | 2022-09-09 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2022-04-05 | 2022-05-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-05 | 2022-05-13 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-22 | 2022-02-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-25 | Not Fixed | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-09-25 | Not Fixed | 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 | 2024-09-25 | Not Fixed | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-25 | Not Fixed | N |
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