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Deficiency Records for Green House Living For Sheridan
A list of the most recent deficiencies for Green House Living For Sheridan. 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 Green House Living For Sheridan. 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? |
|---|---|---|---|---|
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-03-20 | 2024-07-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-04 | 2024-05-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-20 | 2024-05-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-20 | 2024-05-04 | Y |
| Post nurse staffing information every day. | Health | 2024-03-20 | 2024-05-04 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-30 | 2024-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-30 | 2024-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-30 | 2024-04-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-30 | 2024-04-12 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-02-01 | 2024-02-23 | 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 | 2024-02-01 | 2024-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-01 | 2024-02-23 | N |
| Respond appropriately to all alleged violations. | Health | 2024-02-01 | 2024-02-23 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-30 | 2024-02-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-30 | 2024-02-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-30 | 2024-02-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-30 | 2024-02-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-01 | 2024-02-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-01 | 2024-02-01 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-03-31 | 2023-05-15 | Y |
| 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 | 2023-03-31 | 2023-05-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-31 | 2023-05-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-17 | 2023-01-19 | 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 | 2022-11-17 | 2022-12-11 | 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 | 2022-11-17 | 2022-12-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-11-17 | 2022-12-10 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-17 | 2022-12-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-22 | 2022-12-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-17 | 2022-12-09 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-11-17 | 2022-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-17 | 2022-12-09 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-11-22 | 2022-12-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-22 | 2022-12-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-22 | 2022-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-17 | 2022-12-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-22 | 2022-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-22 | 2022-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-22 | 2022-12-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-22 | 2022-12-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-07 | 2022-01-21 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-10-28 | 2021-12-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-10-28 | 2021-12-28 | N |
| Provide activities to meet all resident's needs. | Health | 2021-10-28 | 2021-12-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-28 | 2021-12-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-28 | 2021-12-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-28 | 2021-12-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-10-28 | 2021-12-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-10-28 | 2021-12-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-10-28 | 2021-12-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-28 | 2021-11-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-28 | 2021-11-19 | N |
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