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Deficiency Records for Salt River Community Care

A list of the most recent deficiencies for Salt River Community Care. 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 Salt River Community Care. 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?
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-02-22 2024-04-23 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-22 2024-04-15 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-02-22 2024-04-14 Y
Ensure that residents are free from significant medication errors. Health 2024-02-22 2024-03-28 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-09-13 2023-10-28 N
Assess the resident when there is a significant change in condition Health 2023-09-13 2023-10-28 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 2023-09-13 2023-10-28 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-09-13 2023-10-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-09-13 2023-10-28 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 2023-09-13 2023-10-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-13 2023-10-28 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 2023-09-13 2023-10-28 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-09-13 2023-10-28 N
Provide and implement an infection prevention and control program. Health 2023-09-13 2023-10-28 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-09-13 2023-10-28 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-09-13 2023-10-28 N
Establish policies and procedures for volunteers. Fire Safety 2023-09-13 2023-10-28 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2023-09-13 2023-10-28 N
Establish emergency prep training and testing. Fire Safety 2023-09-13 2023-10-28 N
Establish staff and initial training requirements. Fire Safety 2023-09-13 2023-10-28 N
Meet other general requirements. Fire Safety 2023-09-13 2023-10-28 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-09-13 2023-10-28 N
Provide properly protected cooking facilities. Fire Safety 2023-09-13 2023-10-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-09-13 2023-10-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-09-13 2023-10-28 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-09-13 2023-10-28 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-07-20 2023-08-24 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-04-27 2023-06-09 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-04-27 2023-06-09 Y
Respond appropriately to all alleged violations. Health 2023-04-27 2023-06-09 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-04-27 2023-06-09 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-04-27 2023-06-09 Y
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2023-04-27 2023-06-09 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-01-11 2023-02-15 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-04-04 2022-05-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-03 2022-05-17 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-12-20 2020-01-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-12-20 2020-01-25 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-12-20 2020-01-25 N
Ensure medication error rates are not 5 percent or greater. Health 2019-12-20 2020-01-25 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2019-12-20 2020-01-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-12-20 2020-01-25 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2018-11-02 2018-12-05 N
Keep residents' personal and medical records private and confidential. Health 2018-11-02 2018-12-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-11-02 2018-12-05 N
Provide activities to meet all resident's needs. Health 2018-11-02 2018-12-05 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2018-11-02 2018-12-05 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 2018-11-02 2018-12-05 N
Provide and implement an infection prevention and control program. Health 2018-11-02 2018-12-05 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2018-11-02 2018-12-05 N

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