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Deficiency Records for Shrewsbury Rehabilitation and Nursing at Southgate
A list of the most recent deficiencies for Shrewsbury Rehabilitation and Nursing at Southgate. 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 Shrewsbury Rehabilitation and Nursing at Southgate. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-12-06 | 2024-01-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-05 | 2023-11-19 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-05 | 2023-10-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-19 | 2023-10-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-19 | 2023-10-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-19 | 2023-10-20 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-03 | 2023-08-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-10 | 2022-11-21 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-03-11 | 2022-03-25 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-03-11 | 2022-03-25 | N |
| Post nurse staffing information every day. | Health | 2022-03-11 | 2022-03-25 | 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 | 2022-03-11 | 2022-03-25 | 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 | 2022-03-11 | 2022-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-11 | 2022-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-11 | 2022-03-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-13 | 2022-01-14 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-24 | 2019-09-01 | 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 | 2019-07-24 | 2019-09-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-24 | 2019-09-01 | 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 | 2019-07-24 | 2019-09-01 | N |
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