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Deficiency Records for Southshore Health Care Center

A list of the most recent deficiencies for Southshore Health Care 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 Southshore Health Care 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?
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-09-23 2024-10-25 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-07-03 2024-09-06 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-07-03 2024-09-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-03 2024-09-06 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-07-03 2024-08-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-03 2024-08-17 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-06-27 2024-08-11 N
Give the resident's representative the ability to exercise the resident's rights. Health 2024-06-27 2024-08-11 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-06-27 2024-08-11 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2024-06-27 2024-08-11 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-06-27 2024-08-11 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 2024-06-27 2024-08-11 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-06-27 2024-08-11 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-27 2024-08-11 N
Respond appropriately to all alleged violations. Health 2024-06-27 2024-08-11 N
Ensure each resident receives an accurate assessment. Health 2024-06-27 2024-08-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-27 2024-08-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-27 2024-08-11 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-06-27 2024-08-11 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 2024-06-27 2024-08-11 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-06-27 2024-08-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-27 2024-08-11 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-06-27 2024-08-11 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2024-06-27 2024-08-11 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-06-27 2024-08-11 N
Give the resident's representative the ability to exercise the resident's rights. Health 2024-03-19 2024-04-16 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-03-19 2024-04-16 Y
Provide properly protected cooking facilities. Fire Safety 2023-03-08 2023-04-14 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-03-08 2023-04-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-08 2023-04-14 N
Have proper medical gas storage and administration areas. Fire Safety 2023-03-08 2023-04-14 N
Give the resident's representative the ability to exercise the resident's rights. Health 2023-03-02 2023-04-10 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-03-02 2023-04-10 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 2023-03-02 2023-04-10 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2023-03-02 2023-04-10 N
Ensure each resident receives an accurate assessment. Health 2023-03-02 2023-04-10 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-03-02 2023-04-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-02 2023-04-10 N
Provide enough food/fluids to maintain a resident's health. Health 2023-03-02 2023-04-10 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 2023-03-02 2023-04-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-02 2023-04-10 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-03-02 2023-04-10 N
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. Health 2023-03-02 2023-04-10 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-03-02 2023-04-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-01-10 2022-02-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-01-10 2022-02-28 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 2019-12-09 2020-01-23 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-12-09 2020-01-23 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-12-09 2020-01-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-12-09 2020-01-23 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-10-01 2019-11-29 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2019-10-01 2019-11-29 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2019-10-01 2019-11-29 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 2019-10-01 2019-11-29 N
Ensure each resident receives an accurate assessment. Health 2019-10-01 2019-11-29 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-10-01 2019-11-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-10-01 2019-11-29 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 2019-10-01 2019-11-29 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2019-10-01 2019-11-29 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2019-10-01 2019-11-29 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2019-10-01 2019-11-29 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2019-10-01 2019-11-29 N

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