Deficiency Records for Springhill Post Acute and Memory Care
Updated as of March 01, 2024
A list of the most recent deficiencies for Springhill Post Acute and Memory Care. 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-12-06 | 2024-01-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-06 | 2024-01-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-06 | 2024-01-19 | 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 | 2023-12-06 | 2024-01-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-20 | 2023-09-15 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-06 | 2023-04-03 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-12-08 | 2023-01-05 | 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 | 2022-12-08 | 2023-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2023-01-05 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-12-08 | 2023-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-05 | 2022-02-19 | N |
| Keep all essential equipment working safely. | Health | 2022-01-05 | 2022-02-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-05 | 2022-02-19 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-06 | 2022-02-16 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-01-06 | 2022-02-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-01-06 | 2022-02-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-06 | 2022-02-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-06 | 2022-02-03 | 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 | 2022-01-06 | 2022-01-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-01-06 | 2022-01-07 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-12-06 | Not Fixed | N |
