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Deficiency Records for Scarlet Oaks Nursing and Rehabilitation Center
A list of the most recent deficiencies for Scarlet Oaks Nursing and Rehabilitation Center. 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 Scarlet Oaks Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-24 | 2023-09-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-24 | 2023-09-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-12 | 2023-07-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-07-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-29 | 2023-01-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-29 | 2023-01-11 | Y |
| Report COVID19 data to residents and families. | Health | 2022-12-29 | 2023-01-11 | 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 | 2022-11-29 | 2023-01-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-29 | 2023-01-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-29 | 2023-01-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-22 | 2022-08-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-20 | 2022-07-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-20 | 2022-07-01 | 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 | 2022-05-20 | 2022-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-20 | 2022-07-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-20 | 2022-07-01 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-05-19 | 2022-07-01 | 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 | 2022-05-19 | 2022-07-01 | 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 | 2022-05-19 | 2022-07-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-05-19 | 2022-07-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-17 | 2021-11-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-01 | 2021-11-19 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-01 | 2021-11-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-01 | 2021-11-19 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-28 | 2019-05-03 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-03-28 | 2019-05-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-03-28 | 2019-05-03 | 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 | 2019-03-28 | 2019-05-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-28 | 2019-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-05-03 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-03-26 | 2019-05-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-03-26 | 2019-05-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-26 | 2019-05-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-26 | 2019-05-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-03-26 | 2019-05-03 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2018-02-27 | 2018-05-30 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-03-01 | 2018-04-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-01 | 2018-04-15 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-03-01 | 2018-04-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-27 | 2018-04-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-02-27 | 2018-04-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-02-27 | 2018-04-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-02-27 | 2018-04-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-02-27 | 2018-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-27 | 2018-04-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-27 | 2018-04-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-02-27 | 2018-04-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-02-27 | 2018-04-15 | N |
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