Deficiency Records for Shorepointe Nursing Center

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Updated as of May 01, 2024

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Deficiency Records for Shorepointe Nursing Center

A list of the most recent deficiencies for Shorepointe Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Shorepointe Nursing Center. 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?
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-03-14 2024-04-22 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-03-14 2024-04-22 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 2024-03-14 2024-04-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-14 2024-04-22 N
Provide and implement an infection prevention and control program. Health 2024-03-14 2024-04-22 N
Conduct testing and exercise requirements. Fire Safety 2024-03-13 2024-04-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-13 2024-04-22 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-03-13 2024-04-22 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-03-13 2024-04-22 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2024-03-13 2024-04-22 N
Provide a written emergency evacuation plan. Fire Safety 2024-03-13 2024-04-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-03-13 2024-04-22 N
Have proper medical gas storage and administration areas. Fire Safety 2024-03-13 2024-04-22 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 2024-01-23 2024-02-13 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-07-05 2023-08-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-05 2023-08-05 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-12-08 2023-02-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-08 2023-02-22 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-12-08 2023-02-22 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-12-09 2023-01-17 Y
Post nurse staffing information every day. Health 2022-12-09 2023-01-17 Y
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 2022-12-09 2023-01-17 Y
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2022-12-09 2023-01-17 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-09 2023-01-17 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-12-08 2023-01-17 N
Address subsistence needs for staff and patients. Fire Safety 2022-12-08 2023-01-17 N
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 2022-12-08 2023-01-17 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 2022-12-08 2023-01-17 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-12-08 2023-01-17 N
Provide a written emergency evacuation plan. Fire Safety 2022-12-08 2023-01-17 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-12-08 2023-01-17 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-12-08 2023-01-17 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-12-08 2023-01-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-12-08 2023-01-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-12-08 2023-01-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-15 2022-10-05 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-09-15 2022-10-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-15 2022-10-05 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-09-15 2022-10-05 Y
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 2022-09-15 2022-10-05 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-12-28 2022-02-01 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-28 2022-02-01 Y
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 2021-12-28 2022-02-01 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2021-12-28 2022-02-01 Y
Respond appropriately to all alleged violations. Health 2021-10-21 2021-11-22 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2021-10-21 2021-11-16 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-10-21 2021-11-16 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-10-21 2021-11-16 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-10-21 2021-11-16 Y
Keep residents' personal and medical records private and confidential. Health 2021-07-14 2021-08-11 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 2021-07-14 2021-08-11 N
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 2021-07-14 2021-08-11 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 2021-07-14 2021-08-11 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2021-07-14 2021-08-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-14 2021-08-11 N
Provide and implement an infection prevention and control program. Health 2021-07-14 2021-08-11 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-07-14 2021-08-11 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-14 2021-08-11 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-07-14 2021-08-11 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-07-14 2021-08-11 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-07-16 2021-08-11 N
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 2021-07-16 2021-08-11 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 2021-07-16 2021-08-11 N
Provide properly protected cooking facilities. Fire Safety 2021-07-16 2021-08-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-07-16 2021-08-11 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-07-16 2021-08-11 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-07-16 2021-08-11 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-07-16 2021-08-11 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-07-16 2021-08-11 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-07-16 2021-08-11 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-07-16 2021-08-11 N
Have proper medical gas storage and administration areas. Fire Safety 2021-07-16 2021-08-11 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-06-22 2021-07-09 Y

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