A list of the most recent deficiencies for The Springs Post-Acute. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-16 | 2024-01-30 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-08-24 | 2023-09-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-24 | 2023-09-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-10 | 2023-08-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-12 | 2023-06-30 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-02-14 | 2023-02-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-14 | 2023-02-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-14 | 2023-02-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-06 | 2023-01-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-21 | 2022-12-20 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-11-21 | 2022-12-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-16 | 2022-10-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-16 | 2022-10-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-27 | 2022-10-24 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-09-07 | 2022-10-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-26 | 2022-08-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-26 | 2022-08-18 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-05-12 | 2022-06-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-15 | 2022-05-14 | 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 | 2022-04-15 | 2022-05-14 | 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 | 2022-04-15 | 2022-05-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-04-15 | 2022-05-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-15 | 2022-05-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-15 | 2022-05-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-15 | 2022-05-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-15 | 2022-05-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-15 | 2022-05-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-15 | 2022-05-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-15 | 2022-05-14 | 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 | 2022-04-15 | 2022-05-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-15 | 2022-05-14 | N |
| Keep all essential equipment working safely. | Health | 2022-04-15 | 2022-05-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-04-15 | 2022-05-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-15 | 2022-05-14 | Y |
| Report COVID19 data to residents and families. | Health | 2022-03-15 | 2022-03-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-10 | 2022-01-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-27 | 2021-11-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-14 | 2021-08-03 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-11-27 | 2020-01-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-27 | 2020-01-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-27 | 2020-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-27 | 2020-01-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-11-26 | 2019-12-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-26 | 2019-12-30 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-11-26 | 2019-12-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-26 | 2019-12-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-26 | 2019-12-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-26 | 2019-12-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-26 | 2019-12-30 | N |
| Ensure that gas containers are correctly designed and tested, and in locations that are labeled. | Fire Safety | 2019-11-26 | 2019-12-30 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2019-11-26 | 2019-12-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-26 | 2019-12-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-19 | 2019-02-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-19 | 2019-02-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-19 | 2019-02-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-19 | 2019-02-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-11-19 | 2019-02-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-19 | 2018-12-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-19 | 2018-12-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-11-19 | 2018-12-24 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2018-11-17 | 2018-12-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-17 | 2018-12-24 | N |
