A list of the most recent deficiencies for Social Circle Nsg and Rehab Ctr. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-29 | 2023-12-13 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-29 | 2023-12-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-29 | 2023-12-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-29 | 2023-12-13 | 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 | 2023-10-29 | 2023-12-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-29 | 2023-12-13 | 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 | 2023-10-29 | 2023-12-13 | 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 | 2023-10-29 | 2023-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-29 | 2023-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-29 | 2023-12-13 | N |
| Keep all essential equipment working safely. | Health | 2023-10-29 | 2023-12-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-28 | 2023-12-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-28 | 2023-12-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-23 | 2023-01-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-23 | 2023-01-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-23 | 2023-01-05 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-07-21 | 2022-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-21 | 2022-08-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-02 | 2022-07-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-02 | 2022-07-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-26 | 2019-03-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-01-26 | 2019-03-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-26 | 2019-03-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-26 | 2019-03-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-26 | 2019-03-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-26 | 2019-03-11 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-01-26 | 2019-03-11 | 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 | 2019-01-26 | 2019-03-11 | N |
| Post nurse staffing information every day. | Health | 2019-01-26 | 2019-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-26 | 2019-03-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-01-26 | 2019-03-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-01-22 | 2019-03-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-22 | 2019-03-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-22 | 2019-03-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-22 | 2019-03-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-22 | 2019-03-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-01-22 | 2019-03-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-22 | 2019-03-11 | N |
