A list of the most recent deficiencies for Skyline Transitional Care 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-01-24 | 2022-06-01 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-01-24 | 2022-06-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-24 | 2022-06-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-05-12 | 2022-06-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-12 | 2022-06-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-01-24 | 2022-06-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-24 | 2022-06-01 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-01-24 | 2022-03-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-24 | 2022-03-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-24 | 2022-03-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-24 | 2022-03-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-24 | 2022-03-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-24 | 2022-03-15 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-01-24 | 2022-03-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-24 | 2022-03-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-24 | 2022-03-15 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-01-24 | 2022-03-15 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-01-24 | 2022-03-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-24 | 2022-03-15 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-01-24 | 2022-03-09 | Y |
| Report COVID19 data to residents and families. | Health | 2022-01-24 | 2022-03-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-24 | 2022-03-09 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-08-24 | 2021-09-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-24 | 2021-09-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-24 | 2021-09-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-24 | 2021-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-24 | 2021-09-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-24 | 2021-09-29 | N |
| Have an externally vented heating system. | Fire Safety | 2021-08-24 | 2021-09-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-24 | 2021-09-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-24 | 2021-09-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-24 | 2021-09-29 | 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 | 2020-03-05 | 2020-04-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-03-05 | 2020-04-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-03-05 | 2020-04-03 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-03-05 | 2020-04-03 | 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 | 2020-03-05 | 2020-04-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-05 | 2020-04-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-05 | 2020-04-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-05 | 2020-04-03 | 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 | 2020-03-05 | 2020-04-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-31 | 2019-07-22 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-05-31 | 2019-07-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-11-30 | 2019-01-18 | 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 | 2018-11-30 | 2019-01-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-30 | 2019-01-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-30 | 2019-01-18 | 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 | 2018-11-30 | 2019-01-16 | 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 | 2018-11-30 | 2019-01-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-30 | 2019-01-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-11-30 | 2019-01-04 | N |
| Respond appropriately to all alleged violations. | Health | 2018-11-30 | 2019-01-04 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-11-30 | 2019-01-04 | 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 | 2018-11-30 | 2019-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-30 | 2019-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-30 | 2019-01-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-11-30 | 2019-01-04 | N |
| Meet other general requirements. | Fire Safety | 2018-05-01 | 2018-06-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-05-01 | 2018-06-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-05-01 | 2018-06-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-05-01 | 2018-06-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-01 | 2018-06-06 | N |
| Use approved construction type or materials. | Fire Safety | 2018-05-01 | 2018-06-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-01 | 2018-06-05 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-05-01 | 2018-06-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-01 | 2018-06-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-01 | 2018-06-05 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2018-05-01 | 2018-06-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-01 | 2018-06-05 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-05-01 | 2018-06-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-05-01 | 2018-05-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-05-01 | 2018-05-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-05-01 | 2018-05-04 | N |
