A list of the most recent deficiencies for Life Care Center of The North 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-25 | 2023-08-25 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-07-25 | 2023-08-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-25 | 2023-08-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-25 | 2023-07-07 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-07 | 2023-04-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-07 | 2023-04-21 | 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 | 2023-03-07 | 2023-04-21 | N |
| Have an externally vented heating system. | Fire Safety | 2023-03-07 | 2023-04-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-07 | 2023-04-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-23 | 2023-03-15 | N |
| 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 | 2023-02-23 | 2023-03-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-02-23 | 2023-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-23 | 2023-03-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-23 | 2023-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-23 | 2023-03-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-29 | 2022-12-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-29 | 2022-12-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-29 | 2022-12-30 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-08-11 | 2022-08-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-05 | 2021-12-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-05 | 2021-12-02 | N |
| Respond appropriately to all alleged violations. | Health | 2021-11-05 | 2021-12-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-05 | 2021-12-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-05 | 2021-12-02 | N |
| Provide activities to meet all resident's needs. | Health | 2021-11-05 | 2021-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-05 | 2021-12-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-05 | 2021-12-02 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-11-05 | 2021-12-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-11-05 | 2021-12-02 | 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 | 2021-11-05 | 2021-12-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-08 | 2019-05-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-04-08 | 2019-05-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-08 | 2019-05-06 | 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 | 2019-04-08 | 2019-05-06 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-04-08 | 2019-05-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-04-08 | 2019-05-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-08 | 2019-05-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-08 | 2019-05-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-08 | 2019-05-06 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-04-08 | 2019-05-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-08 | 2019-05-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-08 | 2019-05-06 | N |
