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Deficiency Records for Village Shalom Inc
View the most recent health deficiencies and inspection results for Village Shalom Inc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Village Shalom Inc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-06-04 | 2025-08-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-06-04 | 2025-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-06-04 | 2025-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-04 | 2025-08-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-06-04 | 2025-08-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-06-04 | 2025-08-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-06-04 | 2025-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-06-04 | 2025-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-04 | 2025-08-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-06-04 | 2025-08-13 | 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 | 2025-06-04 | 2025-08-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-06-04 | 2025-08-13 | 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 | 2025-06-04 | 2025-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-04 | 2025-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-04 | 2025-07-15 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-06-04 | 2025-07-15 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2025-06-04 | 2025-07-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-06-04 | 2025-07-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-06-04 | 2025-07-15 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-06-04 | 2025-07-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-04 | 2025-07-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-04 | 2025-07-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-04 | 2025-07-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-04 | 2025-07-15 | 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 | 2025-06-04 | 2025-07-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-06-04 | 2025-07-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-06-04 | 2025-07-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-10-19 | 2023-12-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-19 | 2023-11-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-19 | 2023-11-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-19 | 2023-11-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-19 | 2023-11-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-10-19 | 2023-11-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-19 | 2023-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-11-20 | 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 | 2023-10-19 | 2023-11-20 | 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 | 2023-10-19 | 2023-11-20 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-10-19 | 2023-11-20 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-10-19 | 2023-11-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-19 | 2023-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-03 | 2023-08-29 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-07 | 2022-04-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-07 | 2022-04-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-07 | 2022-04-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-07 | 2022-04-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-07 | 2022-04-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-02-07 | 2022-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-07 | 2022-04-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-02-07 | 2022-04-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-07 | 2022-04-22 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-02-07 | 2022-03-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-07 | 2022-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-07 | 2022-03-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-07 | 2022-03-07 | N |