Deficiency Records for Shea Post Acute Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Shea Post Acute 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-02 | 2023-07-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-02 | 2023-07-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-06-02 | 2023-07-13 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-02 | 2023-07-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-02 | 2023-07-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-02 | 2023-07-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-20 | 2023-05-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-14 | 2022-05-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-04-14 | 2022-05-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-14 | 2022-05-05 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-04-14 | 2022-05-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-02 | 2021-08-02 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-05 | 2020-03-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-05 | 2020-03-03 | N |
| 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 | 2019-12-05 | 2020-03-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-12-05 | 2020-03-03 | 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 | 2019-12-05 | 2020-03-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-12-05 | 2020-03-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-05 | 2020-01-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-12-05 | 2020-01-19 | N |
| Provide appropriate foot care. | Health | 2019-12-05 | 2020-01-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-05 | 2020-01-19 | N |
