Deficiency Records for Shawnee Rose Care Center
Updated as of April 01, 2023
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? |
|---|---|---|---|---|
| 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 |
| 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 |
