Deficiency Records for Shawnee Gardens Healthcare and Rehab Center
Updated as of September 01, 2019
This is not the most recent data for Shawnee Gardens Healthcare and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for Shawnee Gardens Healthcare and Rehab Center. 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 maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-02-20 | 2019-04-11 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-07-20 | 2018-08-29 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-07-20 | 2018-08-29 | Y |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2018-07-20 | 2018-08-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-20 | 2018-08-29 | Y |
| 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 | 2018-07-20 | 2018-08-29 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-20 | 2018-08-29 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-07-20 | 2018-08-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-20 | 2018-08-29 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-07-20 | 2018-08-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-20 | 2018-08-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-20 | 2018-08-29 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-10-06 | 2016-10-28 | Y |
| Provide housekeeping and maintenance services. | Health | 2016-10-06 | 2016-10-28 | Y |
| Maintain comfortable and safe temperature levels. | Health | 2016-10-06 | 2016-10-28 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-06 | 2016-10-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-06 | 2016-10-28 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-06 | 2016-10-28 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-10-06 | 2016-10-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-06 | 2016-10-28 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-10-06 | 2016-10-28 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-10-06 | 2016-10-28 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-10-06 | 2016-10-28 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-10-06 | 2016-10-28 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-10-06 | 2016-10-28 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-06 | 2016-10-28 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-10-06 | 2016-10-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-17 | Not Fixed | 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 | 2019-07-17 | Not Fixed | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-17 | Not Fixed | 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 | 2019-07-17 | Not Fixed | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-17 | Not Fixed | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-17 | Not Fixed | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-07-17 | Not Fixed | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-17 | Not Fixed | 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 | 2019-07-17 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-17 | Not Fixed | N |
