Deficiency Records for Silver Heights Skilled Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Silver Heights Skilled Nursing and Rehabilitation. 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 large enough exits. | Fire Safety | 2023-10-31 | 2024-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-31 | 2024-02-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-31 | 2023-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-31 | 2023-12-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-31 | 2023-12-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-31 | 2023-12-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-19 | 2023-12-02 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-19 | 2023-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-19 | 2023-12-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-12-02 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-10-19 | 2023-12-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-10-19 | 2023-12-02 | 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 | 2023-10-19 | 2023-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-12-02 | 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 | 2023-04-26 | 2023-06-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-13 | 2023-03-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-13 | 2023-02-07 | 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 | 2022-10-13 | 2022-11-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-13 | 2022-11-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-13 | 2022-11-25 | 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 | 2022-10-13 | 2022-11-25 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-26 | 2022-10-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-26 | 2022-10-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-26 | 2022-09-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-26 | 2022-09-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-26 | 2022-09-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-26 | 2022-09-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-07-26 | 2022-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-26 | 2022-09-04 | 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 | 2022-07-21 | 2022-08-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-07-21 | 2022-08-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-21 | 2022-08-26 | 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 | 2022-07-21 | 2022-08-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-07-21 | 2022-08-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-21 | 2022-08-26 | 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 | 2022-07-21 | 2022-08-26 | 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 | 2022-02-03 | 2022-02-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-03 | 2022-02-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-03 | 2022-02-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-03 | 2022-02-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-02-03 | 2022-02-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-03 | 2022-02-25 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-03 | 2022-02-25 | 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 | 2021-09-21 | 2021-10-08 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-21 | 2021-08-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-21 | 2021-07-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-21 | 2021-07-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-21 | 2021-07-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-21 | 2021-07-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-21 | 2021-07-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-21 | 2021-06-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-21 | 2021-06-01 | N |
| Provide activities to meet all resident's needs. | Health | 2021-05-06 | 2021-05-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-21 | 2021-05-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-21 | 2021-05-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-21 | 2021-05-28 | 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 | 2021-05-21 | 2021-05-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-21 | 2021-05-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-21 | 2021-05-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-21 | 2021-05-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-06 | 2021-05-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-06 | 2021-05-14 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-05-06 | 2021-05-14 | N |
| Respond appropriately to all alleged violations. | Health | 2021-05-06 | 2021-05-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-06 | 2021-05-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-06 | 2021-05-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-06 | 2021-05-14 | 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 | 2021-05-06 | 2021-05-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-06 | 2021-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-06 | 2021-05-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-05-06 | 2021-05-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-09 | 2021-03-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-09 | 2021-03-29 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-26 | Not Fixed | N |
