A list of the most recent deficiencies for Longhouse-Northshire, Ltd. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-02 | 2023-12-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-30 | 2023-11-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-30 | 2023-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-30 | 2023-11-22 | 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 | 2023-10-30 | 2023-11-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-30 | 2023-11-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-30 | 2023-11-22 | 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 | 2023-10-30 | 2023-11-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-30 | 2023-11-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-30 | 2023-11-22 | 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 | 2023-10-30 | 2023-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-30 | 2023-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-30 | 2023-11-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-02 | 2023-11-15 | 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 | 2023-11-02 | 2023-11-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-02 | 2023-11-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-02 | 2023-11-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-02 | 2023-11-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-02 | 2023-11-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-30 | 2023-11-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-02 | 2023-11-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-07-13 | 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 | 2022-04-11 | 2022-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-11 | 2022-05-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-04-11 | 2022-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-07 | 2022-05-06 | 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 | 2022-04-07 | 2022-05-06 | N |
| Post nurse staffing information every day. | Health | 2022-04-07 | 2022-05-06 | 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 | 2022-04-07 | 2022-05-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-07 | 2022-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-07 | 2022-05-06 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-04-07 | 2022-05-06 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-04-11 | 2022-04-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-11 | 2022-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-14 | 2021-09-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-08 | 2021-03-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-04 | 2021-02-23 | 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 | 2021-02-04 | 2021-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-04 | 2021-02-23 | N |
