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Deficiency Records for Complete Care at Shorrock
A list of the most recent deficiencies for Complete Care at Shorrock. 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 Complete Care at Shorrock. 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? |
|---|---|---|---|---|
| Construct fire resistant interior walls. | Fire Safety | 2024-05-29 | 2024-07-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-29 | 2024-07-19 | N |
| Respond appropriately to all alleged violations. | Health | 2024-05-29 | 2024-07-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-29 | 2024-07-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-29 | 2024-07-10 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-05-29 | 2024-07-10 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-05-29 | 2024-07-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-29 | 2024-07-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-29 | 2024-07-10 | N |
| Dispose of garbage and refuse properly. | Health | 2024-05-29 | 2024-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-29 | 2024-07-10 | 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 | 2024-05-29 | 2024-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-29 | 2024-07-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-29 | 2024-07-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-29 | 2024-07-10 | 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 | 2022-05-10 | 2022-07-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-10 | 2022-07-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-10 | 2022-07-15 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-05-10 | 2022-07-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-05-10 | 2022-07-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-10 | 2022-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-10 | 2022-07-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-10 | 2022-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-10 | 2022-06-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-10 | 2022-06-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-10 | 2022-06-13 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-10 | 2022-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-26 | 2021-12-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-26 | 2021-11-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-12 | 2020-01-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-12 | 2020-01-10 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-12-12 | 2020-01-10 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-12-12 | 2020-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-12 | 2020-01-10 | N |
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