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Deficiency Records for Rehab at Shannondell

A list of the most recent deficiencies for Rehab at Shannondell. 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 Rehab at Shannondell. 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?
Meet other general requirements. Fire Safety 2024-07-23 2024-09-30 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-07-23 2024-09-30 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 2024-07-23 2024-09-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-23 2024-09-15 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-07-23 2024-09-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-07-23 2024-09-15 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-07-23 2024-09-15 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-07-23 2024-09-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-07-23 2024-09-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-07-23 2024-09-15 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-07-23 2024-09-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-23 2024-09-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-07-23 2024-09-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-07-11 2024-08-27 N
Ensure medication error rates are not 5 percent or greater. Health 2024-07-11 2024-08-27 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 2024-08-27 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 2023-09-19 2023-12-13 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 2023-09-08 2023-11-01 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-09-08 2023-11-01 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 2023-09-08 2023-11-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-09-08 2023-11-01 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 2023-09-08 2023-11-01 N
Conduct testing and exercise requirements. Fire Safety 2023-09-19 2023-11-01 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2023-09-19 2023-11-01 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-09-19 2023-11-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-09-19 2023-11-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-09-19 2023-11-01 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-09-19 2023-11-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-09-19 2023-11-01 N
Have proper medical gas storage and administration areas. Fire Safety 2023-09-19 2023-11-01 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 2023-09-08 2023-10-23 N
Give residents a notice of rights, rules, services and charges. Health 2023-03-23 2023-05-03 Y
Have properly located and lighted "Exit" signs. Fire Safety 2022-11-17 2023-01-03 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-11-17 2023-01-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-17 2023-01-03 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-11-17 2023-01-03 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-11-17 2023-01-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-11-17 2023-01-03 N
Keep residents' personal and medical records private and confidential. Health 2022-11-04 2022-12-20 N
Provide and implement an infection prevention and control program. Health 2022-11-04 2022-12-20 N

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