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Deficiency Records for Salem Rehab Center
A list of the most recent deficiencies for Salem Rehab 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 Salem Rehab 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? |
---|---|---|---|---|
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-08 | 2024-07-08 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-02-29 | 2024-04-05 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-26 | 2024-03-07 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-26 | 2024-03-07 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-21 | 2023-11-03 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-21 | 2023-11-03 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-21 | 2023-11-03 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-21 | 2023-11-03 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-21 | 2023-07-17 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-25 | 2023-07-03 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-25 | 2023-07-03 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-18 | 2023-06-30 | N |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-05-18 | 2023-06-30 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-18 | 2023-06-30 | 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 | 2023-05-18 | 2023-06-30 | N |
Respond appropriately to all alleged violations. | Health | 2023-05-18 | 2023-06-30 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-05-18 | 2023-06-30 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-18 | 2023-06-30 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-18 | 2023-06-30 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-18 | 2023-06-30 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2023-05-18 | 2023-06-30 | N |
Provide appropriate foot care. | Health | 2023-05-18 | 2023-06-30 | 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 | 2023-05-18 | 2023-06-30 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-18 | 2023-06-30 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-18 | 2023-06-30 | N |
Provide or obtain dental services for each resident. | Health | 2023-05-18 | 2023-06-30 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-18 | 2023-06-30 | 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 | 2023-05-23 | 2023-06-30 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-04-27 | 2023-06-16 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-27 | 2023-06-16 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-27 | 2023-06-16 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-14 | 2022-05-19 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-14 | 2022-05-19 | N |
Provide and implement an infection prevention and control program. | Health | 2022-04-14 | 2022-05-19 | N |
Report COVID19 data to residents and families. | Health | 2022-04-14 | 2022-05-19 | 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 | 2022-04-21 | 2022-05-06 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-14 | 2022-05-02 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-04-14 | 2022-05-02 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-14 | 2022-05-02 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-14 | 2022-05-02 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-04-14 | 2022-05-02 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-14 | 2022-05-02 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-14 | 2022-05-02 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-14 | 2022-05-02 | N |
Provide or obtain dental services for each resident. | Health | 2022-04-14 | 2022-05-02 | N |
Have exits that are accessible at all times. | Fire Safety | 2022-04-21 | 2022-05-02 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-21 | 2022-05-02 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-21 | 2022-05-02 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2019-11-05 | 2019-12-18 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-11-05 | 2019-12-18 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-11-05 | 2019-12-18 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-27 | 2019-11-06 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-09-27 | 2019-11-06 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-09-27 | 2019-11-06 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-27 | 2019-11-06 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-09-27 | 2019-11-06 | N |
Provide and implement an infection prevention and control program. | Health | 2019-09-27 | 2019-11-06 | N |
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