Deficiency Records for Siloam Healthcare, LLC
Updated as of June 01, 2021
This is not the most recent data for Siloam Healthcare, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Siloam Healthcare, LLC. 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-30 | 2021-04-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-16 | 2020-10-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-19 | 2020-10-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-08-19 | 2020-09-23 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-12-18 | 2020-01-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-18 | 2020-01-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-27 | 2020-01-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-12-27 | 2020-01-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-27 | 2020-01-26 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-12-27 | 2020-01-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-27 | 2020-01-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-27 | 2020-01-26 | N |
| 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 | 2019-12-27 | 2020-01-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-27 | 2020-01-26 | 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 | 2019-12-27 | 2020-01-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-27 | 2020-01-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-27 | 2020-01-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-27 | 2020-01-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-12-27 | 2020-01-26 | 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 | 2019-12-27 | 2020-01-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-27 | 2020-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-27 | 2020-01-26 | N |
| Keep all essential equipment working safely. | Health | 2019-12-27 | 2020-01-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-15 | 2019-06-14 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-11-29 | 2019-01-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-11-29 | 2019-01-16 | N |
| Use approved construction type or materials. | Fire Safety | 2018-11-29 | 2018-12-30 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-11-29 | 2018-12-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-29 | 2018-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-29 | 2018-12-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-29 | 2018-12-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-30 | 2018-12-30 | 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 | 2018-11-30 | 2018-12-30 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-11-30 | 2018-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-30 | 2018-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-30 | 2018-12-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-11-30 | 2018-12-30 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-10-23 | 2017-11-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-23 | 2017-11-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-26 | 2017-11-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-26 | 2017-11-09 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-10-26 | 2017-11-09 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-26 | 2017-10-26 | N |
