A list of the most recent deficiencies for Cadia Rehabilitation Silverside. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-27 | 2023-04-13 | N |
| Provide or obtain dental services for each resident. | Health | 2023-03-27 | 2023-04-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-12 | 2023-01-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-25 | 2019-08-13 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-06-25 | 2019-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-25 | 2019-08-13 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-06-25 | 2019-08-13 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-06-25 | 2019-08-13 | 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 | 2019-06-25 | 2019-08-13 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-06-25 | 2019-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-25 | 2019-08-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-25 | 2019-08-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-18 | 2019-07-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-30 | 2018-08-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-05-30 | 2018-08-20 | 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 | 2018-05-30 | 2018-08-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-05-30 | 2018-08-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-30 | 2018-08-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-05-30 | 2018-08-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-30 | 2018-08-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-30 | 2018-08-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-05-30 | 2018-08-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-30 | 2018-08-20 | N |
| 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 | 2018-05-30 | 2018-08-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-30 | 2018-08-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-30 | 2018-08-20 | 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 | 2018-05-30 | 2018-08-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-30 | 2018-08-20 | 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 | 2018-05-30 | 2018-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-30 | 2018-08-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-30 | 2018-08-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-30 | 2018-08-20 | N |
