Deficiency Records for Atlantic Shores Nursing and Rehab Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Atlantic Shores Nursing and Rehab 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-12-22 | 2023-01-23 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-12-22 | 2023-01-23 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-12-22 | 2023-01-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-22 | 2023-01-23 | 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 | 2022-12-22 | 2023-01-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-22 | 2023-01-23 | 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 | 2022-12-22 | 2023-01-23 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-06 | 2022-05-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-02-11 | 2021-03-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-11 | 2021-03-11 | 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 | 2021-02-11 | 2021-03-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-11 | 2021-03-11 | 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 | 2021-02-11 | 2021-03-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-02-08 | 2021-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-08 | 2021-03-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-08 | 2021-03-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-06-07 | 2019-07-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-07 | 2019-07-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-07 | 2019-07-16 | 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 | 2019-06-07 | 2019-07-16 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-06-07 | 2019-07-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-07 | 2019-07-16 | 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 | 2019-06-07 | 2019-07-16 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-06-07 | 2019-07-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-07 | 2019-07-16 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-06-07 | 2019-07-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-07 | 2019-07-16 | N |
