Deficiency Records for South Peninsula Hospital Ltc
Updated as of October 01, 2017
This is not the most recent data for South Peninsula Hospital Ltc. For the most recent information, click here.
A list of the most recent deficiencies for South Peninsula Hospital Ltc. 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? |
|---|---|---|---|---|
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-08-11 | 2016-09-27 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-08-11 | 2016-09-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-08-11 | 2016-09-25 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-08-11 | 2016-09-25 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-11 | 2016-09-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-11 | 2016-09-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-08-11 | 2016-09-25 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-08-11 | 2016-09-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-11 | 2016-09-25 | N |
| Keep all essential equipment working safely. | Health | 2016-08-11 | 2016-09-25 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-11 | 2016-09-25 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-08-11 | 2016-09-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-08-11 | 2016-09-20 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-08-11 | 2016-08-31 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-08-11 | 2016-08-29 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2015-07-16 | 2015-08-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2015-07-16 | 2015-08-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-07-16 | 2015-08-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-07-16 | 2015-08-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-16 | 2015-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-07-16 | 2015-08-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-07-16 | 2015-08-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-16 | 2015-08-30 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-07-16 | 2015-08-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-16 | 2015-08-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-09-18 | 2014-10-31 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-09-18 | 2014-10-31 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-09-18 | 2014-10-31 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-09-18 | 2014-10-31 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-09-18 | 2014-10-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-09-18 | 2014-10-31 | N |
