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Deficiency Records for Springfield Nursing and Independent Living
A list of the most recent deficiencies for Springfield Nursing and Independent Living. 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 Springfield Nursing and Independent Living. 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 | 2024-05-22 | 2024-06-20 | N |
| 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 | 2024-05-22 | 2024-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-22 | 2024-06-20 | 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 | 2024-05-22 | 2024-06-20 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-05-22 | 2024-06-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-22 | 2024-06-20 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-05-22 | 2024-06-20 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-05-22 | 2024-06-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-22 | 2024-06-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-22 | 2024-06-20 | 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 | 2024-05-22 | 2024-06-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-22 | 2024-06-20 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-05-22 | 2024-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-22 | 2024-06-20 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-05-22 | 2024-06-20 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-05-22 | 2024-06-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-11 | 2024-03-06 | Y |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-01-11 | 2024-03-06 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-11 | 2024-02-15 | 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 | 2024-01-16 | 2024-02-07 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-01-11 | 2024-01-31 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-27 | 2023-10-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-27 | 2023-10-11 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-09-27 | 2023-10-11 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-15 | 2023-04-18 | Y |
| 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 | 2023-03-15 | 2023-04-18 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-03-15 | 2023-04-18 | 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 | 2023-03-15 | 2023-04-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-13 | 2023-01-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-13 | 2023-01-18 | Y |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2023-01-13 | 2023-01-18 | 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 | 2022-12-02 | 2023-01-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-14 | 2022-09-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-14 | 2022-09-30 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-05-23 | 2022-08-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-23 | 2022-08-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-23 | 2022-08-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-23 | 2022-08-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-23 | 2022-08-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-23 | 2022-08-19 | N |
| Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. | Fire Safety | 2022-05-23 | 2022-08-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-26 | 2022-08-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-26 | 2022-08-11 | 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 | 2022-05-26 | 2022-08-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-26 | 2022-08-11 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2022-05-26 | 2022-08-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-26 | 2022-08-11 | 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 | 2022-05-26 | 2022-08-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-26 | 2022-08-11 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-05-26 | 2022-08-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-26 | 2022-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-26 | 2022-08-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-23 | 2022-08-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-23 | 2022-08-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-23 | 2022-08-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-23 | 2022-08-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-23 | 2022-08-11 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-23 | 2022-07-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-05 | 2022-01-28 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-24 | 2019-11-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-25 | 2019-11-13 | N |
| 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 | 2019-07-25 | 2019-11-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-25 | 2019-11-13 | 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 | 2019-07-25 | 2019-11-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-25 | 2019-11-13 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-07-25 | 2019-11-13 | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-24 | 2019-11-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-24 | 2019-11-13 | 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 | 2019-07-24 | 2019-11-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-24 | 2019-11-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-07-24 | 2019-11-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-24 | 2019-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-24 | 2019-11-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-24 | 2019-11-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-24 | 2019-11-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-07-24 | 2019-11-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-24 | 2019-11-13 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-07-24 | 2019-11-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-24 | 2019-11-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-24 | 2019-11-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-24 | 2019-11-13 | N |
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