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Deficiency Records for Springtree Healthcare and Rehab Center
A list of the most recent deficiencies for Springtree Healthcare and Rehab 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 Springtree Healthcare and Rehab 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? |
|---|---|---|---|---|
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-05-23 | 2024-06-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-22 | 2024-05-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-22 | 2024-05-29 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-09 | 2023-10-03 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-06-09 | 2023-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-09 | 2023-10-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-09 | 2023-10-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-09 | 2023-10-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-09 | 2023-10-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-09 | 2023-10-03 | 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 | 2023-06-09 | 2023-08-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-06-09 | 2023-08-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-09 | 2023-08-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-09 | 2023-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-09 | 2023-08-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-09 | 2023-08-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-09 | 2023-08-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-09 | 2023-08-15 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-06-09 | 2023-08-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-09 | 2023-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-09 | 2023-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-09 | 2023-08-15 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-06-09 | 2023-08-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-09 | 2023-08-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-09 | 2023-08-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-09 | 2023-08-15 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-06-09 | 2023-08-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-09 | 2023-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-09 | 2023-08-08 | 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 | 2021-10-14 | 2021-11-28 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-14 | 2021-11-28 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-04-19 | 2021-06-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-19 | 2021-06-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-19 | 2021-06-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-19 | 2021-06-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-19 | 2021-06-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-25 | 2021-04-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-25 | 2021-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-25 | 2021-04-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-03-25 | 2021-04-23 | 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 | 2021-03-25 | 2021-04-23 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-01-16 | 2019-02-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-16 | 2019-02-19 | 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 | 2019-01-16 | 2019-02-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-16 | 2019-02-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-16 | 2019-02-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-16 | 2019-02-19 | 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 | 2019-01-16 | 2019-02-19 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-01-16 | 2019-02-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-16 | 2019-02-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-16 | 2019-02-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-01-29 | 2019-02-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-29 | 2019-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-29 | 2019-02-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-29 | 2019-02-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-01-29 | 2019-02-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-29 | 2019-02-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-16 | 2017-12-31 | N |
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