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Deficiency Records for Shelby Pointe, Inc
A list of the most recent deficiencies for Shelby Pointe, Inc. 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 Pointe, Inc. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-30 | 2025-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-30 | 2025-02-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-12-30 | 2025-02-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-30 | 2025-02-21 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-12-30 | 2025-02-21 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-12-30 | 2025-02-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-12-30 | 2025-02-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-30 | 2025-02-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-30 | 2025-02-21 | 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 | 2025-01-02 | 2025-01-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-02 | 2025-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-02 | 2025-01-20 | 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 | 2025-01-02 | 2025-01-20 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2025-01-02 | 2025-01-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-01-02 | 2025-01-20 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2025-01-02 | 2025-01-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-02 | 2025-01-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-12 | 2023-11-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-12 | 2023-11-30 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-10-12 | 2023-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-12 | 2023-11-30 | N |
| Keep all essential equipment working safely. | Health | 2023-10-12 | 2023-11-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-10-12 | 2023-11-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-12 | 2023-11-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-12 | 2023-11-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-12 | 2023-11-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-12 | 2023-11-30 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-11-21 | 2022-12-20 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-11-21 | 2022-12-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-21 | 2022-12-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-21 | 2022-12-20 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-11-21 | 2022-12-20 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-11-21 | 2022-12-20 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-11-21 | 2022-12-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-21 | 2022-12-20 | Y |
| 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 | 2021-08-05 | 2021-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-05 | 2021-11-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-05 | 2021-11-18 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-08-05 | 2021-11-18 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-08-05 | 2021-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-05 | 2021-11-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-08-05 | 2021-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-05 | 2021-11-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-05 | 2021-11-18 | N |
| Enure that solid fuel-burning fireplaces are not in patient sleeping areas. | Fire Safety | 2021-08-05 | 2021-11-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-05 | 2021-11-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-05 | 2021-11-18 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-08-05 | 2021-11-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-05 | 2021-11-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-05 | 2021-11-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-05 | 2021-11-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-05 | 2021-11-18 | N |
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