Deficiency Records for South Shore Rehabilitation
Updated as of February 01, 2021
This is not the most recent data for South Shore Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for South Shore Rehabilitation. 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? |
---|---|---|---|---|
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-12-17 | 2020-12-28 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-11-19 | 2020-12-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-20 | 2020-09-14 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-05-21 | 2020-06-04 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-03-18 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-07 | 2020-02-24 | Y |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-01-17 | 2020-02-14 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-17 | 2020-02-14 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-25 | 2019-11-07 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-28 | 2019-10-16 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-09-28 | 2019-10-16 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-12 | 2019-10-07 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-09-12 | 2019-10-07 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-25 | 2019-07-25 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-06-25 | 2019-07-25 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-25 | 2019-07-19 | N |
Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-06-25 | 2019-07-19 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-06-25 | 2019-07-19 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-06-25 | 2019-07-19 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-06-25 | 2019-07-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-25 | 2019-07-19 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-25 | 2019-07-19 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-25 | 2019-07-19 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-25 | 2019-07-19 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-25 | 2019-07-19 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-20 | 2019-07-19 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-20 | 2019-07-19 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-06-20 | 2019-07-19 | 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 | 2019-06-20 | 2019-07-19 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-20 | 2019-07-19 | Y |
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 | 2019-06-20 | 2019-07-19 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-20 | 2019-07-19 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-20 | 2019-07-19 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-20 | 2019-03-19 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-10 | 2019-02-07 | Y |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-08-30 | 2018-12-05 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-10 | 2018-11-01 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-10 | 2018-11-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-10 | 2018-11-01 | Y |
Install an approved automatic sprinkler system. | Fire Safety | 2018-08-30 | 2018-10-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-30 | 2018-10-01 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-30 | 2018-10-01 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-30 | 2018-10-01 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-30 | 2018-10-01 | N |
Be properly staffed | Fire Safety | 2018-08-30 | 2018-10-01 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-30 | 2018-10-01 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-08-30 | 2018-10-01 | N |
Ensure proper storage of liquid oxygen. | Fire Safety | 2018-08-30 | 2018-10-01 | 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 | 2018-08-30 | 2018-09-30 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-30 | 2018-09-30 | N |
Provide and implement an infection prevention and control program. | Health | 2018-08-30 | 2018-09-29 | 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 | 2018-08-30 | 2018-09-13 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-08-30 | 2018-09-10 | N |
Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-08-30 | 2018-09-10 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-30 | 2018-09-10 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-30 | 2018-08-30 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-04-23 | 2018-06-15 | Y |
Provide and implement an infection prevention and control program. | Health | 2018-04-23 | 2018-06-15 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-04 | 2018-05-15 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-04 | 2018-05-15 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-04-04 | 2018-05-15 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-04 | 2018-05-15 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-04 | 2018-05-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-04 | 2018-05-15 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-04 | 2018-05-15 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-09 | 2017-10-24 | N |
Have exits that are accessible at all times. | Fire Safety | 2017-08-09 | 2017-09-15 | N |
Provide properly protected cooking facilities. | Fire Safety | 2017-08-09 | 2017-09-01 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-08-09 | 2017-09-01 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2017-08-09 | 2017-09-01 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-08-09 | 2017-09-01 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2017-08-09 | 2017-09-01 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-09 | 2017-09-01 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-07-28 | 2017-08-16 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2017-08-09 | 2017-08-11 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-08-09 | 2017-08-09 | N |