Deficiency Records for Atlantic Shores Rehabilitation and Health Center
Updated as of November 01, 2020
This is not the most recent data for Atlantic Shores Rehabilitation and Health Center. For the most recent information, click here.
A list of the most recent deficiencies for Atlantic Shores Rehabilitation and Health 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-26 | 2020-05-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-26 | 2020-03-23 | 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 | 2019-09-20 | 2019-11-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-20 | 2019-11-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-20 | 2019-11-11 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-09-20 | 2019-11-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-20 | 2019-11-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-20 | 2019-11-11 | N |
| Post nurse staffing information every day. | Health | 2019-09-20 | 2019-11-11 | 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 | 2019-09-20 | 2019-11-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-20 | 2019-11-11 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-09-20 | 2019-11-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-20 | 2019-11-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-20 | 2019-11-11 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-09-20 | 2019-10-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-24 | 2019-09-13 | 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 | 2019-07-24 | 2019-09-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-24 | 2019-09-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-07-24 | 2019-09-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-24 | 2019-09-13 | Y |
| Post nurse staffing information every day. | Health | 2019-07-24 | 2019-09-13 | Y |
| 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 | 2019-07-24 | 2019-09-13 | 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 | 2019-03-27 | 2019-05-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-27 | 2019-05-03 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-27 | 2019-05-03 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-09-28 | 2018-11-27 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2018-09-28 | 2018-11-27 | 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 | 2018-09-28 | 2018-11-27 | 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 | 2018-09-28 | 2018-11-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-09-28 | 2018-11-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-28 | 2018-11-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-28 | 2018-11-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-28 | 2018-11-27 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-09-28 | 2018-11-27 | 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 | 2018-09-28 | 2018-11-27 | 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 | 2018-09-28 | 2018-11-27 | N |
| Provide or obtain dental services for each resident. | Health | 2018-09-28 | 2018-11-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-28 | 2018-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-28 | 2018-11-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-09-28 | 2018-11-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-09-28 | 2018-11-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-28 | 2018-11-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-09-28 | 2018-11-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-28 | 2018-11-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-09-28 | 2018-11-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-28 | 2018-11-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-28 | 2018-11-27 | 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 | 2018-09-28 | 2018-11-27 | Y |
| 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 | 2018-09-28 | 2018-11-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-28 | 2018-10-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-07-02 | 2018-08-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-02 | 2018-08-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-07-02 | 2018-08-07 | 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 | 2018-01-31 | 2018-03-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-09-20 | 2017-10-23 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-09-20 | 2017-10-23 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-20 | 2017-10-23 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-09-20 | 2017-10-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-20 | 2017-10-23 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-09-20 | 2017-10-23 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-09-20 | 2017-10-23 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-09-20 | 2017-10-23 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2017-09-20 | 2017-10-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-20 | 2017-10-23 | N |
