A list of the most recent deficiencies for Spring Mill Health Campus. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-24 | 2023-10-24 | N |
| Meet other general requirements. | Fire Safety | 2023-08-24 | 2023-10-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-08-24 | 2023-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-24 | 2023-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-24 | 2023-10-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-24 | 2023-10-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-19 | 2023-09-27 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-11 | 2023-08-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-11 | 2023-08-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-11 | 2023-08-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-11 | 2023-08-28 | 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 | 2023-08-11 | 2023-08-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-11 | 2023-08-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-11 | 2023-08-28 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-08-11 | 2023-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-11 | 2023-08-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-11 | 2023-08-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-11 | 2023-08-28 | 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 | 2023-06-21 | 2023-06-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-21 | 2023-06-09 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-11-30 | 2022-12-22 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-11-30 | 2022-12-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-30 | 2022-12-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-30 | 2022-12-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-30 | 2022-12-22 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-11-30 | 2022-12-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-30 | 2022-12-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-30 | 2022-12-22 | Y |
| 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 | 2022-06-27 | 2022-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-27 | 2022-08-10 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-02 | 2022-08-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-27 | 2022-07-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-27 | 2022-07-15 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-06-27 | 2022-07-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-27 | 2022-07-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-27 | 2022-07-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-27 | 2022-07-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-27 | 2022-07-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-27 | 2022-07-15 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-06-27 | 2022-07-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-27 | 2022-07-15 | 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 | 2022-06-27 | 2022-07-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-27 | 2022-07-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-15 | 2022-03-21 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-03-15 | 2022-03-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-15 | 2022-03-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-15 | 2022-03-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-15 | 2021-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-15 | 2021-11-05 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-04-26 | 2021-05-05 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-04-26 | 2021-05-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-19 | 2021-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-19 | 2021-05-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-19 | 2021-05-03 | N |
| Provide activities to meet all resident's needs. | Health | 2021-04-19 | 2021-05-03 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-04-19 | 2021-05-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-19 | 2021-05-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-19 | 2021-05-03 | 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 | 2021-04-19 | 2021-05-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-19 | 2021-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-19 | 2021-05-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-19 | 2021-05-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-19 | 2021-05-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-19 | 2021-05-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-19 | 2021-05-03 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-19 | 2021-05-03 | Y |
