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Deficiency Records for Shaker Gardens Nursing and Rehabilitation Center

A list of the most recent deficiencies for Shaker Gardens 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 Shaker Gardens 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?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-06 2024-03-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-13 2024-03-19 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-01-10 2023-01-13 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-17 2022-11-23 Y
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2022-05-02 2022-06-17 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 2022-05-02 2022-06-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-05-02 2022-06-17 N
Provide enough food/fluids to maintain a resident's health. Health 2022-05-02 2022-06-17 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2022-05-02 2022-06-17 N
Dispose of garbage and refuse properly. Health 2022-05-02 2022-06-17 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-05-02 2022-06-17 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 2022-05-02 2022-06-17 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-05-02 2022-06-17 Y
Prepare residents for a safe transfer or discharge from the nursing home. Health 2022-05-02 2022-06-17 Y
Provide and implement an infection prevention and control program. Health 2022-05-02 2022-06-17 Y
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 2022-04-27 2022-06-17 N
Have exits that are accessible at all times. Fire Safety 2022-04-27 2022-06-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-04-27 2022-06-17 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2022-04-27 2022-06-17 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-04-27 2022-06-17 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-04-27 2022-06-17 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-04-27 2022-06-17 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-01-11 2022-02-01 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-11 2022-02-01 Y
Ensure medication error rates are not 5 percent or greater. Health 2022-01-11 2022-02-01 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-01-11 2022-02-01 Y
Ensure medication error rates are not 5 percent or greater. Health 2019-05-22 2019-06-21 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-05-22 2019-06-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-05-21 2019-06-21 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-05-21 2019-06-21 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-05-21 2019-06-21 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2018-04-12 2018-05-31 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2018-04-12 2018-05-31 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2018-04-12 2018-05-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-04-12 2018-05-31 N
Provide and implement an infection prevention and control program. Health 2018-04-12 2018-05-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-04-10 2018-05-31 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2018-04-10 2018-05-31 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-04-10 2018-05-31 N
Use approved construction type or materials. Fire Safety 2018-04-10 2018-05-04 N
Use approved construction type or materials. Fire Safety 2022-04-27 Not Fixed N

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