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Deficiency Records for Sheepshead Nursing and Rehabilitation Center
A list of the most recent deficiencies for Sheepshead Nursing and Rehabilitation 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 Sheepshead Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-04-24 | 2024-06-21 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2024-04-24 | 2024-06-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-04-24 | 2024-06-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-24 | 2024-06-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-04-24 | 2024-06-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-24 | 2024-06-21 | 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 | 2024-04-24 | 2024-06-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-24 | 2024-06-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-24 | 2024-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-24 | 2024-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-24 | 2024-06-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-24 | 2024-06-03 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-04-24 | 2024-06-03 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-11 | 2022-06-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-11 | 2022-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-11 | 2022-06-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-11 | 2022-06-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-11 | 2022-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-11 | 2022-06-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-11 | 2022-06-06 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-10-10 | 2019-12-09 | N |
| Meet other general requirements. | Fire Safety | 2019-10-10 | 2019-12-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-10-10 | 2019-12-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-10 | 2019-12-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-10 | 2019-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-10 | 2019-12-02 | 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 | 2019-10-10 | 2019-12-02 | 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 | 2019-10-10 | 2019-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-12-02 | N |
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