A list of the most recent deficiencies for Accura Healthcare of Shenandoah. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-06 | 2023-12-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-06 | 2023-12-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-06 | 2023-12-07 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-03 | 2023-08-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-03 | 2023-08-02 | 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 | 2023-07-03 | 2023-08-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-07-03 | 2023-08-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-03 | 2023-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-03 | 2023-08-02 | 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 | 2023-06-29 | 2023-07-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-29 | 2023-07-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-29 | 2023-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-29 | 2023-07-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-06-29 | 2023-07-18 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-06-29 | 2023-07-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-06-29 | 2023-07-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-29 | 2023-07-18 | N |
| Dispose of garbage and refuse properly. | Health | 2023-06-29 | 2023-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-29 | 2023-07-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-31 | 2022-04-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-31 | 2022-04-14 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-03-31 | 2022-04-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-31 | 2022-04-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-31 | 2022-04-12 | 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 | 2022-03-31 | 2022-04-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-31 | 2022-04-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-31 | 2022-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-31 | 2022-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-31 | 2022-04-08 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-11-26 | 2019-12-19 | 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 | 2019-11-26 | 2019-12-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-26 | 2019-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-26 | 2019-12-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-02 | 2019-12-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-02 | 2019-12-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-02 | 2019-12-10 | 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 | 2019-12-02 | 2019-12-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-02 | 2019-12-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-02 | 2019-12-02 | N |
