A list of the most recent deficiencies for Skylake 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-02-06 | 2024-03-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-06 | 2024-03-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-02-06 | 2024-03-22 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2024-02-06 | 2024-03-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-06 | 2024-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-06 | 2024-03-08 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-02-06 | 2024-03-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-06 | 2024-03-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-06 | 2024-03-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-06 | 2024-03-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-02-06 | 2024-02-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-06 | 2024-02-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-06 | 2024-02-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-06 | 2024-02-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-06 | 2024-02-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-06 | 2024-02-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-06 | 2024-02-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-09 | 2024-02-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-09 | 2024-02-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-01-09 | 2024-02-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-09 | 2024-02-03 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-01-09 | 2024-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-09 | 2024-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-09 | 2024-02-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-09 | 2024-02-03 | N |
| Keep all essential equipment working safely. | Health | 2024-01-09 | 2024-02-03 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-01-09 | 2024-02-03 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-01-09 | 2024-02-03 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-01-09 | 2024-02-03 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-01-09 | 2024-02-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-09 | 2024-02-03 | 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 | 2024-01-09 | 2024-02-03 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-09 | 2024-02-03 | Y |
| 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 | 2024-01-09 | 2024-02-03 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Develop a communication plan. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Establish methods for sharing information. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-09 | 2024-02-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-10-06 | 2022-11-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-06 | 2022-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-06 | 2022-10-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-06 | 2022-10-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-06 | 2022-10-15 | 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 | 2022-10-06 | 2022-10-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-06 | 2022-10-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-06 | 2022-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-06 | 2022-10-10 | N |
| Have an externally vented heating system. | Fire Safety | 2022-10-06 | 2022-10-07 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-10-06 | 2022-10-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-16 | 2022-09-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-09-16 | 2022-09-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-16 | 2022-09-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-16 | 2022-09-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-27 | 2022-05-13 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-04-27 | 2022-05-13 | Y |
| 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 | 2022-04-27 | 2022-05-13 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-10-14 | 2021-11-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-14 | 2021-11-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-14 | 2021-11-12 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-14 | 2021-11-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-14 | 2021-11-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-19 | 2021-05-11 | Y |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-26 | 2020-01-06 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2019-09-26 | 2019-12-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-09-26 | 2019-12-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-26 | 2019-12-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-26 | 2019-12-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-26 | 2019-12-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-09-12 | 2019-10-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-12 | 2019-10-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-12 | 2019-10-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-12 | 2019-10-16 | N |
| Provide activities to meet all resident's needs. | Health | 2019-09-12 | 2019-10-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-09-12 | 2019-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-12 | 2019-10-16 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-09-12 | 2019-10-16 | N |
