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Deficiency Records for Pavilion of South Shore
View the most recent health deficiencies and inspection results for Pavilion of South Shore. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pavilion of South Shore. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2026-03-13 | 2026-03-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-08 | 2025-05-15 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-02-07 | 2025-03-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-07 | 2025-03-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-24 | 2025-03-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-02-24 | 2025-03-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-07 | 2025-02-18 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-02-07 | 2025-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-07 | 2025-02-18 | N |
| Dispose of garbage and refuse properly. | Health | 2025-02-07 | 2025-02-18 | 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 | 2025-02-07 | 2025-02-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-02-07 | 2025-02-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-07 | 2025-02-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-07 | 2025-02-18 | 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 | 2025-02-07 | 2025-02-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-07 | 2025-02-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-05 | 2024-12-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-12-05 | 2024-12-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-30 | 2024-10-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-30 | 2024-10-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-13 | 2024-06-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-19 | 2024-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-19 | 2024-05-09 | 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 | 2024-04-19 | 2024-05-09 | 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 | 2024-04-19 | 2024-05-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-19 | 2024-05-09 | 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 | 2024-04-19 | 2024-05-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-19 | 2024-05-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-19 | 2024-05-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-19 | 2024-05-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-19 | 2024-05-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-04-19 | 2024-05-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-19 | 2024-05-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-19 | 2024-05-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-12 | 2024-01-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-12 | 2024-01-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-12 | 2024-01-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-16 | 2023-11-30 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-16 | 2023-11-30 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2023-03-15 | 2023-04-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-03-15 | 2023-04-01 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-15 | 2023-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-15 | 2023-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-15 | 2023-04-01 | 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 | 2023-03-15 | 2023-04-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-15 | 2023-04-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-15 | 2023-04-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-15 | 2023-04-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-15 | 2023-04-01 | 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 | 2023-03-15 | 2023-04-01 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-03-15 | 2023-04-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-15 | 2023-04-01 | N |