A list of the most recent deficiencies for Shawnee Rose 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-31 | 2024-02-20 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-01-31 | 2024-02-20 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-12-29 | 2024-01-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-29 | 2024-01-16 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-12-14 | 2023-12-27 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-27 | 2023-11-07 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-10-27 | 2023-11-07 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-29 | 2023-07-10 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-31 | 2023-06-13 | 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 | 2023-05-31 | 2023-06-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-31 | 2023-06-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-05-31 | 2023-06-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-31 | 2023-06-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-31 | 2023-06-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-31 | 2023-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-31 | 2023-06-13 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-05-12 | 2023-05-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-12 | 2023-05-26 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-05-12 | 2023-05-26 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-05-12 | 2023-05-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-02 | 2022-08-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-02 | 2022-08-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-02 | 2022-08-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-02 | 2022-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-02 | 2022-08-15 | N |
| Provide activities to meet all resident's needs. | Health | 2022-07-28 | 2022-08-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-02 | 2022-08-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-15 | 2021-11-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-15 | 2021-11-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-15 | 2021-11-09 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-10-15 | 2021-11-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-15 | 2021-11-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-13 | 2021-11-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-10-13 | 2021-11-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-13 | 2021-11-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-13 | 2021-11-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-13 | 2021-11-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-13 | 2021-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-13 | 2021-11-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-11 | 2021-05-21 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-03-05 | 2021-03-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-03-05 | 2021-03-19 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-03-05 | 2021-03-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-05 | 2021-03-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-05 | 2021-03-19 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-03-05 | 2021-03-19 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-03-05 | 2021-03-19 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-03-05 | 2021-03-19 | Y |
