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Deficiency Records for Saugus Center
A list of the most recent deficiencies for Saugus Center. 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 Saugus Center. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-18 | 2024-08-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-18 | 2024-07-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-18 | 2024-07-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-09 | 2024-07-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-09 | 2024-07-25 | 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 | 2024-07-09 | 2024-07-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-09 | 2024-07-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-09 | 2024-07-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-09 | 2024-07-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-09 | 2024-07-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-09 | 2024-07-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-09 | 2024-07-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-09 | 2024-07-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-09 | 2024-07-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-09 | 2024-07-25 | 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 | 2024-07-09 | 2024-07-25 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-07-09 | 2024-07-25 | 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 | 2024-07-09 | 2024-07-25 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-07-09 | 2024-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-09 | 2024-07-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-09 | 2024-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-09 | 2024-07-25 | N |
| Keep all essential equipment working safely. | Health | 2024-07-09 | 2024-07-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-01 | 2024-04-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-01 | 2024-04-02 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-01 | 2023-05-29 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-05-01 | 2023-05-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-01 | 2023-05-29 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-05-01 | 2023-05-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-01 | 2023-05-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-01 | 2023-05-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-01 | 2023-05-29 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-05-01 | 2023-05-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-01 | 2023-05-29 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-05-01 | 2023-05-29 | 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 | 2023-05-01 | 2023-05-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-01 | 2023-05-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-01 | 2023-05-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-01 | 2023-05-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-23 | 2022-06-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-04 | 2022-06-07 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-23 | 2022-06-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-12 | 2022-05-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-05-12 | 2022-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-12 | 2022-05-25 | 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 | 2022-05-12 | 2022-05-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-12 | 2022-05-24 | N |
| Provide appropriate foot care. | Health | 2022-05-12 | 2022-05-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-05-12 | 2022-05-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-12 | 2022-05-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-12 | 2022-05-24 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-05-12 | 2022-05-24 | 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 | 2022-05-12 | 2022-05-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-12 | 2022-05-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-12 | 2022-05-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-16 | 2022-04-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-16 | 2022-04-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-04 | 2022-01-28 | N |
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