A list of the most recent deficiencies for Springhill Village. 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? |
---|---|---|---|---|
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-17 | 2023-12-15 | N |
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 | 2023-11-17 | 2023-12-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-17 | 2023-12-15 | N |
Ensure that residents are free from significant medication errors. | Health | 2023-11-17 | 2023-12-15 | 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 | 2023-11-17 | 2023-12-15 | N |
Provide and implement an infection prevention and control program. | Health | 2023-11-17 | 2023-12-15 | 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 | 2022-08-23 | 2022-09-23 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-08-23 | 2022-09-23 | 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 | 2022-08-23 | 2022-09-23 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-23 | 2022-09-23 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-23 | 2022-09-23 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-23 | 2022-09-23 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-08-23 | 2022-09-23 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-23 | 2022-09-23 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-23 | 2022-09-23 | 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 | 2022-08-23 | 2022-09-23 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-23 | 2022-09-23 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-12 | 2022-09-13 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-12 | 2022-09-13 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-06-23 | 2022-05-12 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-08-11 | 2020-08-17 | 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 | 2020-08-11 | 2020-08-17 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-03-09 | 2020-04-08 | 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 | 2020-03-09 | 2020-04-08 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-03-09 | 2020-04-08 | N |
Provide and implement an infection prevention and control program. | Health | 2020-03-09 | 2020-04-08 | N |