A list of the most recent deficiencies for Seacrest Post-Acute 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-16 | 2024-03-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-02-16 | 2024-03-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-16 | 2024-03-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-16 | 2024-03-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-16 | 2024-03-17 | 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 | 2024-02-16 | 2024-03-17 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-02-16 | 2024-03-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-16 | 2024-03-17 | 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 | 2024-02-16 | 2024-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-16 | 2024-03-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-16 | 2024-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-16 | 2024-03-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-02-16 | 2024-03-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-02-16 | 2024-03-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-02-21 | 2024-03-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-02-21 | 2024-03-15 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-02-21 | 2024-03-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-21 | 2024-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-21 | 2024-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-21 | 2024-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-21 | 2024-03-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-21 | 2024-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-21 | 2024-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-04 | 2024-02-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-01 | 2023-12-28 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-01 | 2023-12-28 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-19 | 2023-11-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-19 | 2023-11-17 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-10-19 | 2023-11-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-25 | 2023-08-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-16 | 2023-06-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-16 | 2023-06-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-16 | 2023-06-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-16 | 2023-05-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-16 | 2023-05-15 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-04-16 | 2023-05-15 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-29 | 2023-02-08 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-12-29 | 2023-02-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-10 | 2023-01-15 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-10 | 2023-01-15 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-12-10 | 2023-01-15 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-09 | 2022-03-10 | 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 | 2022-02-10 | 2022-03-04 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-02-10 | 2022-03-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-10 | 2022-03-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-10 | 2022-03-04 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-02-10 | 2022-03-04 | N |
| Post nurse staffing information every day. | Health | 2022-02-10 | 2022-03-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-10 | 2022-03-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-03-04 | N |
| Keep all essential equipment working safely. | Health | 2022-02-10 | 2022-03-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-02-10 | 2022-03-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-30 | 2021-10-12 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-09-17 | 2019-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-17 | 2019-10-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-09-17 | 2019-10-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-13 | 2019-10-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-13 | 2019-10-11 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-09-13 | 2019-10-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-13 | 2019-10-11 | 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 | 2019-09-13 | 2019-10-11 | 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 | 2019-09-13 | 2019-10-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-13 | 2019-10-11 | N |
