Deficiency Records for Seabury
Updated as of September 01, 2020
This is not the most recent data for Seabury. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-16 | 2019-09-23 | Y |
| 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 residents are fully informed and understand their health status, care and treatments. | Health | 2017-12-04 | 2018-01-15 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2017-12-04 | 2018-01-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-04 | 2018-01-15 | N |
| Respond appropriately to all alleged violations. | Health | 2017-12-04 | 2018-01-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-04 | 2018-01-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-04 | 2018-01-15 | N |
| Post nurse staffing information every day. | Health | 2017-12-04 | 2018-01-15 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2017-12-04 | 2018-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-04 | 2018-01-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2017-12-04 | 2018-01-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-04 | 2018-01-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2017-12-04 | 2018-01-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2017-12-04 | 2018-01-15 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2017-12-04 | 2018-01-15 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2017-12-04 | 2018-01-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2017-12-04 | 2018-01-15 | Y |
