A list of the most recent deficiencies for Hannah B G Shaw Home. 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 maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-19 | 2023-09-30 | N |
Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2023-07-19 | 2023-09-30 | N |
Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-07-19 | 2023-08-31 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-19 | 2023-07-28 | N |
Provide and implement an infection prevention and control program. | Health | 2021-09-08 | 2021-10-13 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-19 | 2021-06-14 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-19 | 2021-06-14 | N |
Provide and implement an infection prevention and control program. | Health | 2021-05-19 | 2021-06-14 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-05-01 | 2019-08-08 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-15 | 2019-04-19 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-15 | 2019-04-19 | N |
Respond appropriately to all alleged violations. | Health | 2019-03-15 | 2019-04-19 | 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 | 2019-03-15 | 2019-04-19 | N |