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Deficiency Records for Community Skilled Health Care
A list of the most recent deficiencies for Community Skilled Health Care. 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 Community Skilled Health Care. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-26 | 2024-09-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-26 | 2024-09-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-26 | 2024-09-06 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-08-26 | 2024-09-06 | 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 | 2024-07-23 | 2024-08-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-23 | 2024-08-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-23 | 2024-08-26 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-07-23 | 2024-08-26 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-07-23 | 2024-08-26 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-07-23 | 2024-08-26 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-16 | 2024-07-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-16 | 2024-07-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-16 | 2024-07-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-16 | 2024-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-16 | 2024-07-23 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-05-16 | 2024-07-23 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-16 | 2024-07-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-16 | 2024-07-23 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-04-03 | 2024-04-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-03 | 2024-04-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-21 | 2024-03-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-05 | 2024-01-08 | Y |
| 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 | 2023-11-07 | 2023-11-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-18 | 2023-10-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-18 | 2023-10-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-18 | 2023-10-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-15 | 2023-08-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-04 | 2022-11-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-04 | 2022-11-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-04 | 2022-11-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-12 | 2020-01-08 | 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 | 2019-12-12 | 2020-01-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-12 | 2020-01-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-12 | 2020-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-12 | 2020-01-08 | N |
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