A list of the most recent deficiencies for Seabury. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-17 | 2022-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-17 | 2022-03-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-17 | 2022-03-27 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-08-16 | 2019-09-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-16 | 2019-09-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-16 | 2019-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-16 | 2019-09-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-18 | 2018-11-29 | 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 | 2018-10-18 | 2018-11-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-18 | 2018-11-29 | N |
| Respond appropriately to all alleged violations. | Health | 2018-10-18 | 2018-11-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-18 | 2018-11-29 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-10-18 | 2018-11-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-18 | 2018-11-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-10-18 | 2018-11-29 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-10-18 | 2018-11-29 | 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 | 2018-10-18 | 2018-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-18 | 2018-11-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-10-15 | 2018-11-26 | 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 | 2018-10-15 | 2018-11-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
