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Deficiency Records for Shelby Skilled Nursing and Rehabilitation
A list of the most recent deficiencies for Shelby Skilled Nursing and Rehabilitation. 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 Shelby Skilled Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-28 | 2024-10-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-28 | 2024-10-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-28 | 2024-10-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-08-28 | 2024-10-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-28 | 2024-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-28 | 2024-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-26 | 2024-10-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-26 | 2024-10-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-26 | 2024-10-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-08 | 2024-05-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-08 | 2024-05-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-14 | 2024-05-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-14 | 2024-05-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-08 | 2024-05-07 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-09-22 | 2023-09-29 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-06-16 | 2022-07-11 | 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 | 2022-06-14 | 2022-07-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-14 | 2022-07-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-14 | 2022-07-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-14 | 2022-07-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-14 | 2022-07-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-14 | 2022-07-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-06-13 | 2019-08-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-06-13 | 2019-08-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-06-13 | 2019-08-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-13 | 2019-08-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-13 | 2019-08-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-13 | 2019-08-02 | 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 | 2019-06-13 | 2019-08-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-10 | 2019-08-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-10 | 2019-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-10 | 2019-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-10 | 2019-08-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-10 | 2019-08-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-10 | 2019-08-02 | N |
| Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. | Fire Safety | 2019-06-10 | 2019-08-02 | N |
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