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Deficiency Records for Autumn Care of Shallotte
A list of the most recent deficiencies for Autumn Care of Shallotte. 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 Autumn Care of Shallotte. 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? |
|---|---|---|---|---|
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-29 | 2024-09-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-29 | 2024-09-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-29 | 2024-09-20 | 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 | 2024-08-29 | 2024-09-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-29 | 2024-09-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-29 | 2024-06-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-05 | 2024-01-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-05 | 2023-12-01 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-26 | 2023-11-09 | Y |
| 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 | 2023-10-12 | 2023-10-26 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-29 | 2023-09-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-07-27 | 2023-08-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-27 | 2023-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-27 | 2023-08-21 | 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 | 2023-07-27 | 2023-08-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-27 | 2023-08-21 | N |
| Post nurse staffing information every day. | Health | 2023-07-27 | 2023-08-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-27 | 2023-08-21 | 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 | 2023-07-27 | 2023-08-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-27 | 2023-08-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-27 | 2023-08-21 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-03-03 | 2022-03-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-03 | 2022-03-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-03 | 2022-03-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-03 | 2022-03-29 | 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 | 2022-03-03 | 2022-03-29 | N |
| Keep all essential equipment working safely. | Health | 2022-03-03 | 2022-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-03 | 2022-03-29 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-25 | 2020-03-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-25 | 2020-03-24 | N |
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