Deficiency Records for Seabranch Health and Rehabilitation Center
Updated as of May 01, 2024
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Deficiency Records for Seabranch Health and Rehabilitation Center
A list of the most recent deficiencies for Seabranch Health and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Seabranch Health and Rehabilitation 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? |
---|---|---|---|---|
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-23 | 2023-07-27 | 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 | 2023-06-23 | 2023-07-27 | 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 | 2023-06-23 | 2023-07-27 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-23 | 2023-07-27 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-06-23 | 2023-07-27 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-23 | 2023-07-27 | 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 | 2023-06-23 | 2023-07-27 | 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 | 2023-06-23 | 2023-07-27 | 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 | 2023-06-23 | 2023-07-27 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-06-23 | 2023-07-27 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-23 | 2023-07-27 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-23 | 2023-06-15 | Y |
Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-05-23 | 2023-06-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-09 | 2022-09-08 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-03 | 2022-04-02 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-03-03 | 2022-04-02 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-03 | 2022-04-02 | 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 | 2022-03-03 | 2022-04-02 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2022-03-03 | 2022-04-02 | N |
Post nurse staffing information every day. | Health | 2022-03-03 | 2022-04-02 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-03-03 | 2022-04-02 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-03 | 2022-04-02 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-03-01 | 2022-04-02 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-01 | 2022-04-02 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-01 | 2022-04-02 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-01 | 2022-04-02 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-01 | 2022-04-02 | N |
Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-06-16 | 2021-07-15 | Y |
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 | 2021-03-01 | 2021-03-31 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-02-18 | 2021-03-20 | 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 | 2021-02-18 | 2021-03-20 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-18 | 2021-03-20 | 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 | 2021-02-18 | 2021-03-20 | N |
Provide activities to meet all resident's needs. | Health | 2021-02-18 | 2021-03-20 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-18 | 2021-03-20 | 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 | 2021-02-18 | 2021-03-20 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-18 | 2021-03-20 | 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 | 2021-02-18 | 2021-03-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-18 | 2021-03-20 | N |
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