CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Shelby Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Shelby Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Shelby Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2026-04-30 | 2026-05-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-04 | 2025-09-19 | Y |
| 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 | 2025-07-10 | 2025-07-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-02 | 2025-05-01 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-04-02 | 2025-05-01 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-05 | 2025-04-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-03-05 | 2025-04-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-03-05 | 2025-04-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-05 | 2025-04-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-03-05 | 2025-04-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-03-05 | 2025-04-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-03-05 | 2025-04-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-03-05 | 2025-04-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-03-05 | 2025-04-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-03-05 | 2025-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-05 | 2025-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-05 | 2025-04-01 | Y |
| 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 | 2025-03-05 | 2025-04-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-05 | 2025-04-01 | Y |
| 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 | 2025-03-05 | 2025-04-01 | 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 | 2025-03-05 | 2025-04-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-05 | 2025-04-01 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-03-05 | 2025-04-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-05 | 2025-04-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-03-05 | 2025-04-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-03-05 | 2025-04-01 | 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 | 2025-03-05 | 2025-04-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-13 | 2024-11-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-21 | 2024-03-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-21 | 2024-03-19 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-23 | 2024-03-07 | 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 | 2024-02-27 | Y |
| Provide appropriate foot care. | Health | 2024-01-23 | 2024-02-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-23 | 2024-02-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-23 | 2024-02-27 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-01-23 | 2024-02-27 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-01-23 | 2024-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-23 | 2024-02-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-23 | 2024-02-27 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-01-23 | 2024-02-27 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-01-23 | 2024-02-27 | 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 | 2024-01-23 | 2024-02-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-23 | 2024-02-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-23 | 2024-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-23 | 2024-02-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-23 | 2024-02-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-23 | 2024-02-27 | 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 | 2024-01-23 | 2024-02-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-27 | 2023-10-10 | Y |
| 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 | 2023-09-18 | 2023-10-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-17 | 2023-09-13 | 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 | 2022-10-13 | 2022-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-13 | 2022-11-08 | N |
| Dispose of garbage and refuse properly. | Health | 2022-10-13 | 2022-11-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-13 | 2022-11-08 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-10-13 | 2022-11-08 | 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 | 2022-10-13 | 2022-11-08 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-10-13 | 2022-11-08 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-10-13 | 2022-11-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-13 | 2022-11-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-13 | 2022-11-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-13 | 2022-11-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-13 | 2022-11-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-13 | 2022-11-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-13 | 2022-11-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-13 | 2022-11-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-13 | 2022-11-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-13 | 2022-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-13 | 2022-11-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-13 | 2022-11-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-13 | 2022-11-08 | N |