CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Spring Hill Care and Rehab
View the most recent health deficiencies and inspection results for Spring Hill Care and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Spring Hill Care and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-18 | 2025-10-17 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2025-07-22 | 2025-09-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-07-22 | 2025-09-16 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-11 | 2025-07-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-06-11 | 2025-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-11 | 2025-07-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-06-11 | 2025-07-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-06-11 | 2025-07-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-06-11 | 2025-07-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-11 | 2025-07-23 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-06-11 | 2025-07-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-11 | 2025-07-23 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-06-11 | 2025-07-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-11 | 2025-07-23 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-06-11 | 2025-07-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-11 | 2025-07-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-11 | 2025-07-23 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-11 | 2025-07-23 | Y |
| Post nurse staffing information every day. | Health | 2025-06-11 | 2025-07-23 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-06-11 | 2025-07-23 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-06-11 | 2025-07-23 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-06-11 | 2025-07-23 | Y |
| 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 | 2025-06-11 | 2025-07-23 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-06-11 | 2025-07-23 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-06-11 | 2025-07-23 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-06-11 | 2025-07-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-06-11 | 2025-07-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-06-11 | 2025-07-23 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-04 | 2023-12-08 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-10-04 | 2023-12-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-04 | 2023-12-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-04 | 2023-12-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-04 | 2023-12-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-04 | 2023-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-12-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-04 | 2023-12-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-04 | 2023-12-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-04 | 2023-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-04 | 2023-12-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-04 | 2023-12-08 | 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 | 2023-10-04 | 2023-11-02 | 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 | 2023-10-04 | 2023-11-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-10-04 | 2023-11-02 | 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 | 2023-10-04 | 2023-11-02 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-10-04 | 2023-11-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-04 | 2023-11-02 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-10-04 | 2023-11-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-04 | 2023-11-02 | 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 | 2023-10-04 | 2023-11-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-03 | 2022-04-15 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-02-03 | 2022-04-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-03 | 2022-04-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-03 | 2022-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-03 | 2022-04-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-03 | 2022-04-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-03 | 2022-03-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-03 | 2022-03-04 | 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 | 2022-02-03 | 2022-03-04 | 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 | 2022-02-03 | 2022-03-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-03 | 2022-03-04 | N |