A list of the most recent deficiencies for Snow Hill Nursing and Rehab Ctr. 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? |
|---|---|---|---|---|
| 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 | 2022-08-17 | 2022-12-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-17 | 2022-12-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-17 | 2022-12-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-17 | 2022-12-31 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-08-17 | 2022-12-31 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-08-19 | 2022-10-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-19 | 2022-10-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-19 | 2022-10-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-19 | 2022-10-26 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-19 | 2022-10-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-19 | 2022-10-26 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-19 | 2022-10-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-19 | 2022-10-26 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-19 | 2022-10-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-19 | 2022-10-26 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-08-19 | 2022-10-26 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-08-19 | 2022-10-26 | 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 | 2022-08-19 | 2022-10-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-19 | 2022-10-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-19 | 2022-10-26 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-17 | 2022-10-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-08-17 | 2022-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-17 | 2022-10-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-17 | 2022-10-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-17 | 2022-10-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-17 | 2022-10-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-16 | 2019-03-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-16 | 2019-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-12 | 2018-11-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-10-12 | 2018-11-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-07-06 | 2017-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-06 | 2017-09-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-06 | 2017-09-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-06 | 2017-09-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-07-06 | 2017-09-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2017-07-06 | 2017-09-01 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-07-06 | 2017-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-06 | 2017-09-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-07-06 | 2017-09-01 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-06-30 | 2017-08-21 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-06-30 | 2017-08-21 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-06-30 | 2017-08-21 | N |
| Provide housekeeping and maintenance services. | Health | 2017-06-30 | 2017-08-21 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-30 | 2017-08-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-30 | 2017-08-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-06-30 | 2017-08-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-30 | 2017-08-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-17 | Not Fixed | N |
