A list of the most recent deficiencies for Shoreline Healthcare 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? |
---|---|---|---|---|
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-25 | 2023-10-19 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-19 | 2023-06-15 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-23 | 2022-08-31 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-23 | 2022-08-31 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-11-22 | 2021-12-27 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-11-22 | 2021-12-27 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-22 | 2021-12-27 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-22 | 2021-12-27 | 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 | 2021-11-22 | 2021-12-27 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-11-22 | 2021-12-27 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-22 | 2021-12-27 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-22 | 2021-12-27 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-22 | 2021-12-27 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-22 | 2021-12-27 | N |
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2021-11-22 | 2021-12-27 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-22 | 2021-12-27 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-22 | 2021-12-27 | 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 | 2021-11-22 | 2021-12-27 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-22 | 2021-12-27 | Y |
Install an approved automatic sprinkler system. | Fire Safety | 2021-11-16 | 2021-12-09 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-16 | 2021-12-09 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-11-16 | 2021-12-09 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-16 | 2021-12-09 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-16 | 2021-12-09 | N |
Post nurse staffing information every day. | Health | 2021-09-16 | 2021-09-28 | Y |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-28 | 2019-12-04 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-18 | 2019-11-25 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-10-18 | 2019-11-25 | 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 | 2019-10-18 | 2019-11-25 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-18 | 2019-11-25 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-10-18 | 2019-11-25 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-10-18 | 2019-11-25 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-10-18 | 2019-11-25 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-18 | 2019-11-25 | 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 | 2019-10-18 | 2019-11-25 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-18 | 2019-11-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-18 | 2019-11-25 | 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 | 2019-10-18 | 2019-11-25 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-18 | 2019-11-25 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-18 | 2019-11-25 | N |
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-10-18 | 2019-11-25 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-18 | 2019-11-25 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-18 | 2019-11-25 | N |
Provide and implement an infection prevention and control program. | Health | 2019-10-18 | 2019-11-25 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-18 | 2019-11-25 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-04 | 2018-12-21 | 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 | 2018-11-04 | 2018-12-21 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-04 | 2018-12-21 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2018-11-04 | 2018-12-21 | 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 | 2018-11-04 | 2018-12-21 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-04 | 2018-12-21 | 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 | 2018-11-04 | 2018-12-21 | N |
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-11-04 | 2018-12-21 | N |
Provide and implement an infection prevention and control program. | Health | 2018-11-04 | 2018-12-21 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-11-04 | 2018-12-21 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-11-03 | 2018-12-06 | N |
Implement emergency and standby power systems. | Fire Safety | 2018-11-03 | 2018-12-06 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-11-03 | 2018-12-06 | 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 | 2018-11-03 | 2018-12-06 | N |
Construct fire resistant interior walls. | Fire Safety | 2018-11-03 | 2018-12-06 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-03 | 2018-12-06 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-03 | 2018-12-06 | N |