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Deficiency Records for Sligo Creek Healthcare

A list of the most recent deficiencies for Sligo Creek Healthcare. 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 Sligo Creek Healthcare. 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?
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2020-11-20 2020-12-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-11-20 2020-12-21 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 2020-11-20 2020-12-21 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2020-11-20 2020-12-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-11-20 2020-12-21 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2020-11-20 2020-12-21 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 2020-11-24 2020-12-21 N
Have proper medical gas storage and administration areas. Fire Safety 2020-11-24 2020-12-21 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2019-05-21 2019-06-26 N
Establish emergency prep training and testing. Fire Safety 2019-05-21 2019-06-26 N
Establish staff and initial training requirements. Fire Safety 2019-05-21 2019-06-26 N
Conduct testing and exercise requirements. Fire Safety 2019-05-21 2019-06-26 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2019-05-21 2019-06-26 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2019-05-21 2019-06-26 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-05-10 2019-06-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-05-10 2019-06-14 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 2019-05-10 2019-06-14 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-05-10 2019-06-14 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-05-10 2019-06-14 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 2019-05-10 2019-06-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-05-10 2019-06-14 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2019-05-10 2019-06-14 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2019-05-10 2019-06-14 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-05-10 2019-06-14 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2018-05-15 2018-06-22 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2018-05-15 2018-06-22 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2018-05-15 2018-06-22 N
Respond appropriately to all alleged violations. Health 2018-05-15 2018-06-22 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2018-05-15 2018-06-22 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-05-15 2018-06-22 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 2018-05-15 2018-06-22 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-05-15 2018-06-22 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2018-05-15 2018-06-22 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 2018-05-15 2018-06-22 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 2018-05-15 2018-06-22 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2018-05-15 2018-06-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-05-15 2018-06-22 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-05-16 2018-06-10 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2018-05-16 2018-06-10 N

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