Deficiency Records for Shawnee Post Acute Rehabilitation Center
Updated as of May 01, 2024
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Deficiency Records for Shawnee Post Acute Rehabilitation Center
A list of the most recent deficiencies for Shawnee Post Acute Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Shawnee Post Acute Rehabilitation 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-04-09 | 2024-05-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-09 | 2024-05-03 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-04-09 | 2024-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-09 | 2024-05-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-09 | 2024-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-09 | 2024-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-09 | 2024-05-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-09 | 2024-05-03 | 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 | 2023-11-20 | 2023-11-30 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-02 | 2023-06-02 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-02 | 2023-06-02 | Y |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-11-09 | 2022-12-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-09 | 2022-12-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-09 | 2022-12-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-09 | 2022-12-01 | 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 | 2022-10-05 | 2022-11-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-05 | 2022-11-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-05 | 2022-11-03 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-05 | 2022-11-03 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-10-05 | 2022-11-03 | 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 | 2022-10-05 | 2022-11-03 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-05 | 2022-11-03 | Y |
| 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 | 2022-10-05 | 2022-11-03 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-05 | 2022-11-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-05 | 2022-11-03 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-25 | 2021-07-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-25 | 2021-07-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-13 | 2021-06-07 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-05-13 | 2021-06-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-13 | 2021-06-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-27 | Not Fixed | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-27 | 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 | 2024-03-27 | Not Fixed | 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 | 2024-03-27 | Not Fixed | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-27 | Not Fixed | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-27 | Not Fixed | 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 | 2024-03-27 | Not Fixed | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-27 | Not Fixed | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-03-27 | Not Fixed | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-27 | Not Fixed | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-27 | Not Fixed | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-27 | Not Fixed | 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 | 2024-03-27 | Not Fixed | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-27 | Not Fixed | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-27 | Not Fixed | 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 | 2024-03-27 | Not Fixed | 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 | 2024-03-27 | Not Fixed | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-27 | Not Fixed | N |
| 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 | 2024-03-27 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-27 | Not Fixed | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-27 | Not Fixed | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-03-27 | Not Fixed | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-03-27 | Not Fixed | 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 | 2024-03-27 | Not Fixed | N |
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