Deficiency Records for Azure Shores Rehab
Updated as of February 01, 2018
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? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-09-29 | 2017-11-13 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-09-29 | 2017-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-29 | 2017-11-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-29 | 2017-11-13 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2017-09-29 | 2017-11-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-09-29 | 2017-11-13 | N |
| Provide housekeeping and maintenance services. | Health | 2017-09-29 | 2017-11-13 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-29 | 2017-11-13 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-09-29 | 2017-11-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-29 | 2017-11-13 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-09-29 | 2017-11-13 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-09-29 | 2017-11-13 | 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 | 2017-09-29 | 2017-11-13 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-06-29 | 2016-07-30 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-06-29 | 2016-07-30 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-06-29 | 2016-07-30 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2016-06-29 | 2016-07-30 | N |
| Properly constructed piped-in oxygen systems. | Fire Safety | 2016-06-29 | 2016-07-30 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-06-29 | 2016-07-30 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-06-30 | 2016-07-30 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-06-30 | 2016-07-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-06-30 | 2016-07-30 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2016-06-30 | 2016-07-30 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-06-30 | 2016-07-30 | N |
| Provide housekeeping and maintenance services. | Health | 2016-06-30 | 2016-07-30 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-06-30 | 2016-07-30 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2016-06-30 | 2016-07-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-30 | 2016-07-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-30 | 2016-07-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-06-30 | 2016-07-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-30 | 2016-07-30 | N |
| Keep all essential equipment working safely. | Health | 2016-05-03 | 2016-06-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-08-04 | 2015-09-04 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-08-04 | 2015-09-04 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-08-04 | 2015-09-04 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-04-06 | 2015-05-11 | N |
| Dispose of garbage and refuse properly. | Health | 2015-04-06 | 2015-05-11 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-04-06 | 2015-05-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-04-06 | 2015-05-11 | N |
| At least two compartments on every floor to protect residents from smoke. | Fire Safety | 2015-04-02 | 2015-05-06 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-04-02 | 2015-05-06 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-04-02 | 2015-05-06 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-04-02 | 2015-05-06 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-04-06 | 2015-05-06 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-04-06 | 2015-05-06 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-04-06 | 2015-05-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-04-06 | 2015-05-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-04-06 | 2015-05-06 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2015-04-06 | 2015-05-06 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2015-04-06 | 2015-05-06 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2015-04-06 | 2015-05-06 | N |
| Provide or obtain dental services for each resident. | Health | 2015-04-06 | 2015-05-06 | N |
