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Deficiency Records for Shippenville Healthcare and Rehabilitation Center

A list of the most recent deficiencies for Shippenville 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 Shippenville 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?
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-07-17 2024-08-15 N
Ensure each resident receives an accurate assessment. Health 2024-07-11 2024-08-10 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 2024-07-11 2024-08-10 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 2024-07-11 2024-08-10 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 2023-08-31 2023-10-10 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 2023-08-31 2023-10-10 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 2023-08-31 2023-10-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-31 2023-10-10 N
Provide and implement an infection prevention and control program. Health 2023-08-31 2023-10-10 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-08-23 2023-10-03 N
List the names and contact information of those in the facility. Fire Safety 2023-08-23 2023-10-03 N
Establish emergency prep training and testing. Fire Safety 2023-08-23 2023-10-03 N
Meet other general requirements. Fire Safety 2023-08-23 2023-10-03 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 2023-08-23 2023-10-03 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-08-23 2023-10-03 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-08-23 2023-10-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-23 2023-10-03 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-08-23 2023-10-03 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-08-23 2023-10-03 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-23 2023-10-03 N
Have power receptacles that are properly grounded. Fire Safety 2023-08-23 2023-10-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-23 2023-10-03 N
Have proper medical gas storage and administration areas. Fire Safety 2023-08-23 2023-10-03 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 2023-02-06 2023-02-28 Y
Ensure each resident receives an accurate assessment. Health 2022-09-23 2022-10-31 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-09-23 2022-10-31 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-23 2022-10-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-23 2022-10-31 Y
Establish emergency prep training and testing. Fire Safety 2022-09-28 2022-10-31 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 2022-09-28 2022-10-31 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-09-28 2022-10-31 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-09-28 2022-10-31 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-09-28 2022-10-31 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-09-28 2022-10-31 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-09-28 2022-10-31 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-09-28 2022-10-31 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2022-09-28 2022-10-31 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-09-28 2022-10-31 N
Have proper medical gas storage and administration areas. Fire Safety 2022-09-28 2022-10-31 N

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