Deficiency Records for Spring View Manor Healthcare and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Spring View Manor Healthcare and Rehabilitation. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-20 | 2023-01-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-09 | 2022-12-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-09 | 2022-12-13 | 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 | 2022-06-02 | 2022-07-06 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Use approved construction type or materials. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-07 | 2021-06-07 | 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 | 2021-05-07 | 2021-06-07 | 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 | 2021-05-07 | 2021-06-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-07 | 2021-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-07 | 2021-06-07 | 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 | 2021-03-25 | 2021-04-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-05 | 2019-07-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-12 | 2019-07-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-06-12 | 2019-07-24 | 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 | 2019-06-12 | 2019-07-24 | N |
| Provide activities to meet all resident's needs. | Health | 2019-06-12 | 2019-07-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-06-12 | 2019-07-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-06-12 | 2019-07-24 | N |
| Post nurse staffing information every day. | Health | 2019-06-12 | 2019-07-24 | 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 | 2019-06-12 | 2019-07-24 | 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 | 2019-06-12 | 2019-07-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-12 | 2019-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-12 | 2019-07-24 | N |
