Deficiency Records for Azure Shores Rehab
Updated as of November 01, 2022
This is not the most recent data for Azure Shores Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Azure Shores Rehab. 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 each resident receives an accurate assessment. | Health | 2022-04-28 | 2022-06-20 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-04-28 | 2022-06-20 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-28 | 2022-06-20 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-28 | 2022-06-20 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-28 | 2022-06-20 | 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 | 2022-04-28 | 2022-06-20 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-28 | 2022-06-20 | N |
Keep all essential equipment working safely. | Health | 2022-04-28 | 2022-06-20 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-04-28 | 2022-06-20 | N |
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-04-28 | 2022-06-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-28 | 2022-06-20 | N |
Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2022-04-28 | 2022-06-20 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-28 | 2022-06-20 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-28 | 2022-06-20 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-28 | 2021-09-09 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-28 | 2021-09-09 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-07-28 | 2021-09-09 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-13 | 2021-06-12 | Y |
Keep all essential equipment working safely. | Health | 2021-03-10 | 2021-04-10 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-08-05 | 2020-09-05 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-06-10 | 2020-07-10 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-06-10 | 2020-07-10 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-19 | 2020-01-19 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-12-19 | 2020-01-19 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-19 | 2020-01-19 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-19 | 2020-01-19 | N |
Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-01-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-17 | 2020-01-19 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-04 | 2018-10-28 | N |
Provide activities to meet all resident's needs. | Health | 2018-10-04 | 2018-10-28 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-04 | 2018-10-28 | N |
Provide and implement an infection prevention and control program. | Health | 2018-10-04 | 2018-10-28 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-10-04 | 2018-10-28 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-02 | 2018-10-28 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-02 | 2018-10-28 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-02 | 2018-10-28 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-02 | 2018-10-28 | N |