Deficiency Records for Azure Shores Rehab
Updated as of March 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? |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
