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Deficiency Records for Shawnee Manor

A list of the most recent deficiencies for Shawnee Manor. 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 Shawnee Manor. 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?
Assist a resident in gaining access to vision and hearing services. Health 2023-09-07 2023-09-25 Y
Ensure that residents are free from significant medication errors. Health 2023-01-23 2023-01-27 Y
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 2023-01-23 2023-01-27 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-08-18 2022-09-09 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 2022-08-18 2022-09-09 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-08-18 2022-09-09 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-08-18 2022-09-09 Y
Construct fire resistant interior walls. Fire Safety 2022-08-17 2022-09-09 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-08-17 2022-09-09 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-08-17 2022-09-09 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-01-28 2022-02-18 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-01-28 2022-02-18 Y
Provide and implement an infection prevention and control program. Health 2022-01-28 2022-02-18 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-11-23 2021-12-10 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-10-07 2021-10-21 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-08-15 2019-09-26 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2019-08-15 2019-09-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-08-15 2019-09-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-08-15 2019-09-26 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2019-08-15 2019-09-26 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2019-08-19 2019-09-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-08-19 2019-09-26 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2018-07-26 2018-08-24 N
Respond appropriately to all alleged violations. Health 2018-07-26 2018-08-24 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2018-07-26 2018-08-24 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2018-07-26 2018-08-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-07-26 2018-08-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-07-26 2018-08-24 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2018-07-26 2018-08-24 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2018-07-26 2018-08-24 N
Establish policies and procedures for medical documentation. Fire Safety 2018-07-26 2018-08-24 N
Have horizontal exits used in accordance with safety requirements. Fire Safety 2018-07-26 2018-08-24 N
Have properly located and lighted "Exit" signs. Fire Safety 2018-07-26 2018-08-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-07-26 2018-08-24 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2018-07-26 2018-08-24 N

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