Deficiency Records for Shawnee Post Acute Rehabilitation Center
Updated as of March 01, 2024
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? |
|---|---|---|---|---|
| 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 |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-09-18 | 2019-10-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-09-18 | 2019-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-18 | 2019-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-18 | 2019-10-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-18 | 2019-10-18 | 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 | 2019-09-18 | 2019-10-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-18 | 2019-10-18 | 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 | 2019-09-18 | 2019-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-18 | 2019-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-18 | 2019-10-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-09-18 | 2019-10-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-09-18 | 2019-10-18 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-09-18 | 2019-10-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-02-27 | 2019-04-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-27 | 2019-04-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-27 | 2019-04-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-27 | 2019-04-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-27 | 2019-04-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-27 | 2019-04-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-27 | 2019-04-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-27 | 2019-04-12 | N |
