A list of the most recent deficiencies for Shadescrest 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-14 | 2024-03-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-14 | 2024-03-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-14 | 2024-03-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-14 | 2024-03-20 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-02-09 | 2024-03-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-02-09 | 2024-03-15 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-02-09 | 2024-03-15 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-02-09 | 2024-03-15 | 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 | 2024-02-09 | 2024-03-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-02-09 | 2024-03-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-02-09 | 2024-03-15 | 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 | 2024-02-09 | 2024-03-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-09 | 2024-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-09 | 2024-03-15 | N |
| Post nurse staffing information every day. | Health | 2024-02-09 | 2024-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-09 | 2024-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-09 | 2024-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-12 | 2021-07-05 | Y |
| 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 | 2019-08-01 | 2019-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-01 | 2019-09-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-07 | 2019-09-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-07 | 2019-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-07 | 2019-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-26 | 2018-07-31 | N |
