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Deficiency Records for Shanoan Springs Nursing and Rehabilitation
A list of the most recent deficiencies for Shanoan Springs Nursing and Rehabilitation. 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 Shanoan Springs Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-10 | 2024-07-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-18 | 2024-07-15 | 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 | 2024-04-18 | 2024-07-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-18 | 2024-07-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-18 | 2024-07-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-04-18 | 2024-07-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-18 | 2024-07-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-18 | 2024-07-15 | 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 | 2024-04-18 | 2024-07-15 | 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 | 2024-04-18 | 2024-07-15 | 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 | 2024-04-18 | 2024-07-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-18 | 2024-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-18 | 2024-07-15 | N |
| Dispose of garbage and refuse properly. | Health | 2024-04-18 | 2024-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-18 | 2024-07-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-18 | 2023-10-26 | 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 | 2023-03-06 | 2023-05-25 | 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 | 2023-03-06 | 2023-05-25 | N |
| Post nurse staffing information every day. | Health | 2023-03-06 | 2023-05-25 | 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 | 2023-03-06 | 2023-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-06 | 2023-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-06 | 2023-05-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-31 | 2022-07-11 | 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 | 2021-10-07 | 2021-11-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-10-07 | 2021-11-18 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2021-10-07 | 2021-11-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-07 | 2021-11-18 | 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 | 2021-10-06 | 2021-11-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-06 | 2021-11-18 | N |
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