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Deficiency Records for Shannondale Health Care Center
A list of the most recent deficiencies for Shannondale Health Care 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 Shannondale Health Care 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? |
|---|---|---|---|---|
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-05-31 | 2024-06-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-31 | 2024-06-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-05-31 | 2024-06-19 | 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 | 2024-05-31 | 2024-06-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-31 | 2024-06-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-31 | 2024-06-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-31 | 2024-06-19 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-05-31 | 2024-06-19 | 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 | 2024-05-31 | 2024-06-19 | 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 | 2024-05-31 | 2024-06-19 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-05-31 | 2024-06-19 | N |
| Dispose of garbage and refuse properly. | Health | 2024-05-31 | 2024-06-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-31 | 2024-06-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-28 | 2024-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-28 | 2024-06-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-28 | 2024-06-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-28 | 2024-06-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-28 | 2024-06-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-28 | 2024-05-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-14 | 2024-04-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-26 | 2023-07-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-26 | 2023-07-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-26 | 2023-05-25 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-27 | 2020-03-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-01-29 | 2020-03-09 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-01-29 | 2020-03-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-29 | 2020-03-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-29 | 2020-03-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-29 | 2020-03-09 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-01-29 | 2020-03-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-29 | 2020-03-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-29 | 2020-03-09 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-01-29 | 2020-03-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-11-15 | 2018-12-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-15 | 2018-12-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-11-15 | 2018-12-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-15 | 2018-12-30 | 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 | 2018-11-15 | 2018-12-30 | 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 | 2018-11-15 | 2018-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-15 | 2018-12-30 | 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 | 2018-11-13 | 2018-12-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-11-13 | 2018-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-13 | 2018-12-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-26 | Not Fixed | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-26 | Not Fixed | Y |
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