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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 |
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