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Deficiency Records for Silvercrest

A list of the most recent deficiencies for Silvercrest. 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 Silvercrest. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-12-06 2023-02-06 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-06 2023-02-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-06 2023-02-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-06 2023-02-06 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-06 2023-02-06 Y
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-12-06 2023-02-01 N
Have proper power supply for life support equipment. Fire Safety 2022-12-06 2023-02-01 N
Meet requirements for the use and maintenance of medical gas equipment. Fire Safety 2022-12-06 2023-02-01 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-12-28 2022-02-18 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2021-11-01 2021-12-24 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-11-01 2021-12-24 Y
Provide and implement an infection prevention and control program. Health 2020-09-22 2020-10-20 N
Address subsistence needs for staff and patients. Fire Safety 2018-09-13 2018-11-09 N
Establish roles under a Waiver declared by secretary. Fire Safety 2018-09-13 2018-11-09 N
Develop a communication plan. Fire Safety 2018-09-13 2018-11-09 N
Install an approved automatic sprinkler system. Fire Safety 2018-09-13 2018-11-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-09-13 2018-11-09 N
Have proper medical gas storage and administration areas. Fire Safety 2018-09-13 2018-11-09 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 2018-09-13 2018-11-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-09-13 2018-11-08 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 2018-09-13 2018-11-08 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 2018-09-13 2018-11-08 N

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