Deficiency Records for Spring Mill Health Campus
Updated as of April 01, 2022
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? |
---|---|---|---|---|
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 |
Provide and implement an infection prevention and control program. | Health | 2020-12-07 | 2020-12-21 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-08-13 | 2020-08-28 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-08-13 | 2020-08-28 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-08-13 | 2020-08-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-13 | 2020-08-28 | Y |
Respond appropriately to all alleged violations. | Health | 2019-12-27 | 2020-02-05 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-27 | 2020-02-05 | Y |
Ensure each resident receives an accurate assessment. | Health | 2019-04-30 | 2019-05-24 | Y |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-04-30 | 2019-05-24 | Y |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-04-30 | 2019-05-24 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-30 | 2019-05-24 | Y |
Provide and implement an infection prevention and control program. | Health | 2019-04-30 | 2019-05-24 | Y |
Conduct testing and exercise requirements. | Fire Safety | 2019-03-25 | 2019-04-03 | N |
Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2019-03-25 | 2019-04-03 | N |
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 | 2019-03-25 | 2019-04-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-25 | 2019-04-03 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-25 | 2019-04-03 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-03-25 | 2019-04-03 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-02-11 | 2019-03-21 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-11 | 2019-03-21 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-02-11 | 2019-03-21 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-02-11 | 2019-03-21 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-11 | 2019-03-21 | 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 | 2019-02-11 | 2019-03-21 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-11 | 2019-03-21 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-11 | 2019-03-21 | 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 | 2019-02-11 | 2019-03-21 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-02-11 | 2019-03-21 | N |
Post nurse staffing information every day. | Health | 2019-02-11 | 2019-03-21 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-11 | 2019-03-21 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-11 | 2019-03-21 | 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 | 2019-02-11 | 2019-03-21 | N |
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 | 2019-02-11 | 2019-03-21 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-11 | 2019-03-21 | N |
Provide and implement an infection prevention and control program. | Health | 2019-02-11 | 2019-03-21 | N |
Implement a program that monitors antibiotic use. | Health | 2019-02-11 | 2019-03-21 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-11 | 2019-03-21 | N |
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 an enclosure around a vertical opening shaft. | 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 necessary and PRN use is limited. | Health | 2018-01-11 | 2018-01-22 | N |