A list of the most recent deficiencies for Saylor Lane 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2022-09-16 | 2022-10-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-19 | 2022-06-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-19 | 2022-06-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-05-19 | 2022-06-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-19 | 2022-06-30 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2022-05-19 | 2022-06-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-19 | 2022-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-19 | 2022-06-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-05-19 | 2022-06-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-19 | 2022-06-30 | 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 | 2022-05-19 | 2022-06-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-19 | 2022-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-19 | 2022-06-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-19 | 2022-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-19 | 2022-06-30 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-05-19 | 2022-06-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-05-25 | 2022-06-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-05-25 | 2022-06-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-05-25 | 2022-06-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-05-25 | 2022-06-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-05-25 | 2022-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-25 | 2022-06-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-25 | 2022-06-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-25 | 2022-06-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-25 | 2022-06-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-25 | 2022-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-25 | 2022-06-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-25 | 2022-06-14 | 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 | 2021-11-08 | 2021-11-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-08 | 2021-07-30 | Y |
| 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 | 2021-05-27 | 2021-06-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-18 | 2019-10-24 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-09-18 | 2019-10-24 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-09-18 | 2019-10-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-08 | 2019-10-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-08 | 2019-10-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-08 | 2019-10-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-08 | 2019-10-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-08 | 2019-10-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-08 | 2019-10-21 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-10-08 | 2019-10-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-08 | 2019-10-21 | N |
| Develop a communication plan. | Fire Safety | 2018-10-24 | 2018-11-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-10-24 | 2018-11-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-24 | 2018-11-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-24 | 2018-11-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-24 | 2018-11-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-24 | 2018-11-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-24 | 2018-11-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-09-27 | 2018-10-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-27 | 2018-10-29 | 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 | 2018-09-27 | 2018-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-27 | 2018-10-29 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2018-09-27 | 2018-10-29 | N |
