Deficiency Records for Spring Hill Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Spring Hill Health and Rehabilitation 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-30 | 2022-10-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-30 | 2022-10-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-08-30 | 2022-10-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-30 | 2022-10-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-30 | 2022-10-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-30 | 2022-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-30 | 2022-10-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-30 | 2022-10-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-30 | 2022-10-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-30 | 2022-10-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-08-30 | 2022-10-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-01 | 2022-10-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-01 | 2022-10-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-01 | 2022-10-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-01 | 2022-10-01 | 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 | 2022-09-01 | 2022-10-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-01 | 2022-10-01 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-09-01 | 2022-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-01 | 2022-10-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-04-16 | 2021-05-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-16 | 2021-05-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-16 | 2021-05-07 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-04-16 | 2021-05-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-16 | 2021-05-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-16 | 2021-05-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-19 | 2019-09-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-09-19 | 2019-09-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-19 | 2019-09-19 | N |
| Meet other general requirements. | Fire Safety | 2019-09-18 | 2019-09-19 | N |
