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Deficiency Records for Seacrest Rehabilitation and Nursing Center
A list of the most recent deficiencies for Seacrest Rehabilitation and Nursing 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 Seacrest Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-18 | 2024-07-12 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-14 | 2024-01-16 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-12-14 | 2024-01-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-14 | 2024-01-16 | 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 | 2023-12-14 | 2024-01-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-14 | 2024-01-16 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-12-14 | 2024-01-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-12-14 | 2024-01-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-14 | 2024-01-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-12-14 | 2024-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-14 | 2024-01-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-14 | 2024-01-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-14 | 2024-01-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-14 | 2024-01-16 | 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 | 2023-12-13 | 2024-01-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-13 | 2024-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-13 | 2024-01-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-10 | 2023-02-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-10 | 2023-02-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-01-10 | 2023-02-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-10 | 2023-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-10 | 2023-02-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-10 | 2023-02-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-10 | 2023-02-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-10 | 2023-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-10 | 2023-02-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-10 | 2023-02-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-10 | 2023-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-10 | 2023-02-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-10 | 2023-02-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-10 | 2023-02-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-01-11 | 2023-02-10 | 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 | 2023-01-11 | 2023-02-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-11 | 2023-02-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-11 | 2023-02-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-11 | 2023-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-11 | 2023-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-11 | 2023-02-10 | N |
| Keep all essential equipment working safely. | Health | 2023-01-11 | 2023-02-10 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-01-11 | 2023-02-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-11 | 2023-02-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-16 | 2022-07-06 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-24 | 2021-10-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-23 | 2021-10-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-23 | 2021-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-23 | 2021-10-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-23 | 2021-10-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-09-23 | 2021-10-15 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-09-23 | 2021-10-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-09-23 | 2021-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-23 | 2021-10-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-09-23 | 2021-10-15 | N |
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