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Deficiency Records for The Springs Health and Rehabilitation Center
A list of the most recent deficiencies for The Springs Health and Rehabilitation 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 The Springs Health and Rehabilitation 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-08 | 2024-08-27 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2024-07-16 | 2024-08-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-16 | 2024-08-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-16 | 2024-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-16 | 2024-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-16 | 2024-08-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-03 | 2024-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-03 | 2024-07-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-15 | 2024-05-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-15 | 2024-05-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-15 | 2024-05-10 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-11-21 | 2023-12-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-08 | 2023-11-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-04 | 2023-10-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-16 | 2023-09-15 | Y |
| 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 | 2023-05-17 | 2023-06-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-08 | 2023-06-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-11 | 2022-10-31 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-03-28 | 2022-04-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-21 | 2022-04-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2022-01-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-23 | 2021-10-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-23 | 2021-10-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-23 | 2021-10-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-23 | 2021-10-01 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-08-23 | 2021-10-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-23 | 2021-10-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-23 | 2021-10-01 | 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 | 2021-08-23 | 2021-10-01 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-08-23 | 2021-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-23 | 2021-10-01 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-08-23 | 2021-10-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| Use approved construction type or materials. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-10-16 | 2019-10-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-03 | 2019-10-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-03 | 2019-10-17 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-10-03 | 2019-10-17 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-10-03 | 2019-10-17 | N |
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