Deficiency Records for Spring Mill Health Campus
Updated as of April 01, 2018
This is not the most recent data for Spring Mill Health Campus. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Establish policies and procedures for sheltering. | Fire Safety | 2018-02-22 | 2018-03-27 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-02-22 | 2018-03-27 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2018-02-22 | 2018-03-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-22 | 2018-03-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-02-22 | 2018-03-27 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-02-22 | 2018-03-27 | 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 | 2018-02-22 | 2018-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-22 | 2018-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-22 | 2018-03-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-02-22 | 2018-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-22 | 2018-03-27 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-02-22 | 2018-03-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-11 | 2018-01-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-01-11 | 2018-01-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-11 | 2018-01-22 | N |
| Provide activities to meet all resident's needs. | Health | 2018-01-11 | 2018-01-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-11 | 2018-01-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-01-11 | 2018-01-22 | 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 ne | Health | 2018-01-11 | 2018-01-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-13 | 2017-10-26 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-13 | 2017-10-26 | Y |
| Tell the attending physician the results of x-rays and other tests, in a timely manner. | Health | 2017-08-31 | 2017-10-26 | Y |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2017-02-28 | 2017-03-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-02-28 | 2017-03-28 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2017-02-28 | 2017-03-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-28 | 2017-03-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2017-02-28 | 2017-03-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-02-28 | 2017-03-28 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2017-02-28 | 2017-03-28 | N |
| Give notice to the resident before a room or roommate change. | Health | 2017-02-06 | 2017-03-08 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-02-06 | 2017-03-08 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-02-06 | 2017-03-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-06 | 2017-03-08 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-06 | 2017-03-08 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-01-26 | 2016-02-25 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-01-26 | 2016-02-25 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-01-26 | 2016-02-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-26 | 2016-02-25 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-01-26 | 2016-02-25 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-01-26 | 2016-02-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-26 | 2016-02-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-26 | 2016-02-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-01-26 | 2016-02-25 | Y |
