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Deficiency Records for Shady Rest Care Center

A list of the most recent deficiencies for Shady Rest Care 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 Shady Rest Care 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?
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-07-27 2023-08-25 N
Ensure each resident receives an accurate assessment. Health 2023-07-27 2023-08-25 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-07-27 2023-08-25 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-07-27 2023-08-25 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 2023-08-03 2023-08-25 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-08-03 2023-08-25 N
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 2023-01-05 2023-01-20 Y
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 2022-11-28 2022-12-26 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-11-28 2022-12-26 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-11-28 2022-12-26 N
Provide enough food/fluids to maintain a resident's health. Health 2022-11-28 2022-12-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-11-28 2022-12-26 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-11-16 2022-12-21 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 2022-05-25 2022-07-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-05-25 2022-07-07 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-05-25 2022-07-07 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-05-25 2022-07-07 N
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 2022-05-25 2022-07-07 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-05-25 2022-07-07 N
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2022-05-25 2022-07-07 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-05-25 2022-07-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-25 2022-07-07 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-05-25 2022-07-07 Y
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2022-05-25 2022-07-07 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2022-05-25 2022-07-07 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-05-25 2022-07-07 Y
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2022-05-25 2022-07-07 Y
Ensure staff are vaccinated for COVID-19 Health 2022-05-25 2022-07-07 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 2022-05-19 2022-07-07 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 2022-05-19 2022-07-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-05-19 2022-07-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-05-19 2022-07-07 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-12-15 2022-01-28 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-12-15 2022-01-28 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 2021-12-15 2022-01-28 Y

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