Deficiency Records for Shelby Crossing Health Campus

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Updated as of April 01, 2024

A list of the most recent deficiencies for Shelby Crossing Health Campus. 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?
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-02-15 2024-03-12 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-15 2024-03-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-15 2024-03-12 N
Provide and implement an infection prevention and control program. Health 2024-02-15 2024-03-12 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-02-15 2024-03-12 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 2023-01-06 2023-02-08 N
Provide and implement an infection prevention and control program. Health 2023-01-06 2023-02-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-11 2023-01-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-10-27 2021-11-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-10-27 2021-11-12 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-10-27 2021-11-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-10-27 2021-11-12 N
Have proper medical gas storage and administration areas. Fire Safety 2021-10-27 2021-11-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-10-27 2021-11-11 N
Provide and implement an infection prevention and control program. Health 2021-10-27 2021-11-11 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-10-27 2021-11-11 Y
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 2021-10-27 2021-11-11 Y