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Deficiency Records for Transitions Healthcare Shook Home

A list of the most recent deficiencies for Transitions Healthcare Shook Home. 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 Transitions Healthcare Shook Home. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-06-20 2024-07-09 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-20 2024-07-09 Y
Ensure each resident receives an accurate assessment. Health 2024-05-30 2024-07-09 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 2024-05-30 2024-07-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-30 2024-07-09 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-05-30 2024-07-09 N
List the names and contact information of those in the facility. Fire Safety 2024-05-13 2024-05-16 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 2024-05-13 2024-05-16 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2024-05-13 2024-05-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-05-13 2024-05-16 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-05-13 2024-05-16 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2023-06-22 2023-08-20 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-06-22 2023-08-20 N
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 2023-06-22 2023-08-20 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 2023-06-22 2023-08-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-06-22 2023-08-20 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-22 2023-08-20 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-06-22 2023-08-20 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 2023-06-22 2023-08-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-22 2023-08-20 N
Keep residents' personal and medical records private and confidential. Health 2022-07-07 2022-09-04 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 2022-07-07 2022-09-04 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-07-07 2022-09-04 N
Meet other general requirements. Fire Safety 2022-07-19 2022-09-04 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-01-15 2022-02-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-15 2022-02-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-01-15 2022-02-02 Y

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