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Deficiency Records for Serenity Bay Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Serenity Bay Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Serenity Bay Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-12-04 | 2026-01-12 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2025-12-04 | 2026-01-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-12-04 | 2026-01-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-12-04 | 2026-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-04 | 2026-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-04 | 2025-12-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-12-04 | 2025-12-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-04 | 2025-12-17 | 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 | 2025-12-04 | 2025-12-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-04 | 2025-12-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-12-04 | 2025-12-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-04 | 2025-12-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-04 | 2025-12-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-12-04 | 2025-12-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-20 | 2024-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-20 | 2024-07-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-20 | 2024-06-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-20 | 2024-06-24 | 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 | 2024-06-20 | 2024-06-24 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-06-20 | 2024-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-20 | 2024-06-24 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-06-20 | 2024-06-24 | 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 | 2024-06-20 | 2024-06-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-06-20 | 2024-06-24 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-06-20 | 2024-06-24 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-06-20 | 2024-06-24 | 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 | 2024-06-20 | 2024-06-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-20 | 2024-06-24 | 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 | 2024-06-20 | 2024-06-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-20 | 2024-06-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-20 | 2023-02-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-01-20 | 2023-02-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-20 | 2023-02-10 | 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 | 2023-01-20 | 2023-02-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-20 | 2023-02-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-01-20 | 2023-02-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-20 | 2023-02-10 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-01-20 | 2023-02-10 | N |
| Meet other general requirements. | Fire Safety | 2023-01-20 | 2023-02-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-01-20 | 2023-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-20 | 2023-02-10 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-01-20 | 2023-02-10 | N |