A list of the most recent deficiencies for Spalding Post Acute LLC. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-11-02 | 2023-12-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-02 | 2023-12-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-02 | 2023-12-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-02 | 2023-12-17 | 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 | 2023-11-02 | 2023-12-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-02 | 2023-12-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-02 | 2023-12-17 | 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 | 2023-11-02 | 2023-12-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-02 | 2023-12-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-12-17 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-01 | 2023-12-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-11-01 | 2023-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-01 | 2023-12-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-01 | 2023-12-17 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2023-11-01 | 2023-12-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-01 | 2023-12-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-01 | 2023-12-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-01 | 2023-12-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-10 | 2022-03-09 | Y |
| 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 | 2022-02-10 | 2022-03-09 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-02-10 | 2022-03-09 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-10 | 2022-03-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-10 | 2022-03-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-10 | 2022-03-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-10 | 2022-03-09 | Y |
| 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 | 2022-02-10 | 2022-03-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-10 | 2022-03-09 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-02-10 | 2022-03-09 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-10 | 2022-03-09 | Y |
| Report COVID19 data to residents and families. | Health | 2022-02-10 | 2022-03-09 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-11-29 | 2019-01-06 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-11-29 | 2019-01-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-29 | 2019-01-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-29 | 2019-01-06 | N |
| Provide activities to meet all resident's needs. | Health | 2018-11-29 | 2019-01-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-29 | 2019-01-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-11-29 | 2019-01-06 | N |
| Post nurse staffing information every day. | Health | 2018-11-29 | 2019-01-06 | 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 | 2018-11-29 | 2019-01-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-29 | 2019-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-29 | 2019-01-06 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2018-11-29 | 2019-01-06 | N |
