Deficiency Records for Azure Shores Rehab
Updated as of May 01, 2024
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Deficiency Records for Azure Shores Rehab
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.
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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-10 | 2023-10-11 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-08 | 2023-07-08 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-06-08 | 2023-07-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-08 | 2023-07-08 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-06-08 | 2023-07-08 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-08 | 2023-07-08 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-06-08 | 2023-07-08 | N |
Dispose of garbage and refuse properly. | Health | 2023-06-08 | 2023-07-08 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-06-08 | 2023-07-08 | N |
Keep all essential equipment working safely. | Health | 2023-06-08 | 2023-07-08 | N |
Establish emergency prep training and testing. | Fire Safety | 2023-06-07 | 2023-07-08 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-07 | 2023-07-08 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-16 | 2023-04-17 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-16 | 2023-04-16 | Y |
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 |
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 |
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We can provide custom data reports based on our database of skilled nursing facilities. Anything from emails to spreadsheets to an API. Bring the data directly into Salesforce or any other CRM.