A list of the most recent deficiencies for Life Care Center of The South Shore. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-18 | 2022-07-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-05-18 | 2022-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-18 | 2022-07-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-18 | 2022-07-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-18 | 2022-06-21 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-05-18 | 2022-06-21 | 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 | 2022-05-18 | 2022-06-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-18 | 2022-06-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-18 | 2022-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-18 | 2022-06-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-18 | 2022-06-21 | 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 | 2022-05-18 | 2022-06-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-18 | 2022-06-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-17 | 2022-06-12 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-05-17 | 2022-06-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-05-17 | 2022-06-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-05-17 | 2022-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-17 | 2022-06-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-17 | 2022-06-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-05-17 | 2022-06-03 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-05-17 | 2022-06-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-17 | 2022-06-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-17 | 2022-06-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-17 | 2022-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-03 | 2021-11-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-25 | 2019-09-08 | N |
| 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 | 2019-07-25 | 2019-09-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-07-25 | 2019-09-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-25 | 2019-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-25 | 2019-09-08 | 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 | 2019-07-25 | 2019-09-08 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-07-25 | 2019-09-08 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-07-25 | 2019-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-25 | 2019-09-08 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-07-25 | 2019-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-19 | 2019-09-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-19 | 2019-09-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-19 | 2019-09-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-19 | 2019-09-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-07-12 | 2018-08-11 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-07-12 | 2018-08-11 | N |
| Provide activities to meet all resident's needs. | Health | 2018-06-29 | 2018-07-27 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2018-06-29 | 2018-07-27 | 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 | 2018-06-29 | 2018-07-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-06-29 | 2018-07-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-29 | 2018-07-27 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-06-29 | 2018-07-27 | N |
