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Deficiency Records for Accura Healthcare of Shenandoah
View the most recent health deficiencies and inspection results for Accura Healthcare of Shenandoah. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Accura Healthcare of Shenandoah. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-09-18 | 2025-10-16 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-09-18 | 2025-10-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-09-18 | 2025-10-10 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-09-18 | 2025-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-18 | 2025-10-10 | 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 | 2025-09-18 | 2025-10-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-09-18 | 2025-10-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-18 | 2025-10-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-09-18 | 2025-10-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-09-18 | 2025-10-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-09-18 | 2025-10-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-09-18 | 2025-10-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-09-18 | 2025-09-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-09-18 | 2025-09-17 | N |
| Have an externally vented heating system. | Fire Safety | 2025-09-18 | 2025-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-09-18 | 2025-09-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-17 | 2024-11-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-17 | 2024-11-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-10-17 | 2024-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-17 | 2024-11-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-17 | 2024-11-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-17 | 2024-11-20 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-10-17 | 2024-11-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-17 | 2024-11-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-17 | 2024-11-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-17 | 2024-11-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-10-17 | 2024-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-17 | 2024-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-17 | 2024-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-15 | 2024-09-19 | Y |
| 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 |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-29 | 2023-08-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-29 | 2023-08-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-29 | 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 | 2023-06-29 | 2023-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-29 | 2023-08-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-06-29 | 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 |