Deficiency Records for Northshore Extended Care Hospital

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Updated as of March 01, 2024

A list of the most recent deficiencies for Northshore Extended Care Hospital. 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?
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-24 2023-10-08 Y
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2022-08-31 2022-10-09 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-08-31 2022-09-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-08-31 2022-09-16 N
Establish policies and procedures including evacuation. Fire Safety 2022-08-31 2022-09-16 N
Meet other general requirements that are deficient. Fire Safety 2020-09-24 2020-11-08 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2020-09-24 2020-11-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-09-24 2020-11-08 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2020-09-24 Not Fixed N