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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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