Deficiency Records for Shawnee Post Acute Rehabilitation Center
Updated as of September 01, 2021
This is not the most recent data for Shawnee Post Acute Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-03 | 2021-02-19 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-09-18 | 2019-10-18 | Y |
| 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 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-18 | 2019-10-18 | Y |
| 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 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-18 | 2019-10-18 | 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 | 2019-09-18 | 2019-10-18 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-18 | 2019-10-18 | 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 | 2019-09-18 | 2019-10-18 | Y |
| 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 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-09-18 | 2019-10-18 | Y |
| Implement a program that monitors antibiotic use. | Health | 2019-09-18 | 2019-10-18 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-09-18 | 2019-10-18 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-09-18 | 2019-10-18 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-12 | 2019-07-19 | Y |
| 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 | 2019-07-12 | 2019-07-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-28 | 2019-05-30 | Y |
| 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 |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2018-12-12 | 2019-01-08 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-07-26 | 2018-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-26 | 2018-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-26 | 2018-08-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-07-26 | 2018-08-22 | 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 | 2018-07-26 | 2018-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-26 | 2018-08-22 | 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 | 2017-12-18 | 2018-01-16 | 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 | 2017-12-18 | 2018-01-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-12-18 | 2018-01-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-18 | 2018-01-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-25 | Not Fixed | N |
