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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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