Deficiency Records for Shawnee Rose Care Center
Updated as of November 01, 2021
This is not the most recent data for Shawnee Rose Care Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2021-01-27 | 2021-02-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-25 | 2020-10-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-09-25 | 2020-10-22 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-01-22 | 2020-03-04 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-01-22 | 2020-03-04 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-01-22 | 2020-03-04 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-01-22 | 2020-03-04 | N |
| Establish methods for sharing information. | Fire Safety | 2020-01-22 | 2020-03-04 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-01-22 | 2020-03-04 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-01-22 | 2020-03-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-22 | 2020-03-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-22 | 2020-03-04 | 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 | 2020-01-22 | 2020-03-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-22 | 2020-03-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-22 | 2020-03-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-22 | 2020-03-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-22 | 2020-03-04 | 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 | 2020-01-24 | 2020-03-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-24 | 2020-03-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-24 | 2020-03-02 | 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 | 2020-01-24 | 2020-03-02 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2020-01-24 | 2020-03-02 | 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 | 2020-01-24 | 2020-03-02 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2020-01-24 | 2020-03-02 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-03-01 | 2019-04-01 | 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 | 2019-03-01 | 2019-04-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-01 | 2019-04-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-01 | 2019-04-01 | N |
| Provide activities to meet all resident's needs. | Health | 2019-03-01 | 2019-04-01 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2019-03-01 | 2019-04-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-01 | 2019-04-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-03-01 | 2019-04-01 | 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 | 2019-03-01 | 2019-04-01 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-03-01 | 2019-04-01 | 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 | 2019-02-27 | 2019-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-27 | 2019-04-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-27 | 2019-04-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-27 | 2019-04-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-27 | 2019-04-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-02-27 | 2019-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-27 | 2019-04-01 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-03-30 | 2018-04-30 | 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 | 2018-03-30 | 2018-04-30 | 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 | 2018-03-30 | 2018-04-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-30 | 2018-04-30 | 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 | 2018-03-30 | 2018-04-30 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-03-30 | 2018-04-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-03-30 | 2018-04-30 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-03-30 | 2018-04-30 | 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 | 2018-04-02 | 2018-04-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-02 | 2018-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-02 | 2018-04-30 | N |
