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Deficiency Records for Scenery Hill Healthcare and Rehabilitation Center
A list of the most recent deficiencies for Scenery Hill Healthcare 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 Scenery Hill Healthcare 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 policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-30 | 2024-07-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-30 | 2024-07-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-30 | 2024-07-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-30 | 2024-07-09 | 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 | 2024-05-30 | 2024-07-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-30 | 2024-07-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-30 | 2024-07-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-05-30 | 2024-07-09 | N |
| Meet other general requirements. | Fire Safety | 2024-05-21 | 2024-06-18 | 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 | 2024-05-21 | 2024-06-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-21 | 2024-06-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-05-21 | 2024-06-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-05-21 | 2024-06-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-21 | 2024-06-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-21 | 2024-06-18 | N |
| Keep all essential equipment working safely. | Health | 2023-08-30 | 2023-09-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-22 | 2023-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-22 | 2023-08-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-22 | 2023-08-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-22 | 2023-08-01 | 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 | 2023-06-22 | 2023-08-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-22 | 2023-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-22 | 2023-08-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-22 | 2023-08-01 | 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 | 2023-06-22 | 2023-08-01 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-06-27 | 2023-07-25 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-06-27 | 2023-07-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-06-27 | 2023-07-25 | N |
| Meet other general requirements. | Fire Safety | 2023-06-27 | 2023-07-25 | 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 | 2023-06-27 | 2023-07-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-06-27 | 2023-07-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-27 | 2023-07-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-27 | 2023-07-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-27 | 2023-07-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-27 | 2023-07-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-09 | 2023-03-09 | Y |
| Meet other general requirements. | Fire Safety | 2022-05-26 | 2022-07-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-26 | 2022-07-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-26 | 2022-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-26 | 2022-07-28 | 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 | 2022-05-26 | 2022-07-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-26 | 2022-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-26 | 2022-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-26 | 2022-07-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-26 | 2022-07-05 | 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 | 2022-05-24 | 2022-06-28 | 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 | 2022-05-24 | 2022-06-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-24 | 2022-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-24 | 2022-06-28 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-24 | 2022-06-28 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-24 | 2022-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-22 | 2022-03-22 | Y |
| Keep all essential equipment working safely. | Health | 2022-02-22 | 2022-03-22 | Y |
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