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Deficiency Records for Shirley Chapman Sholom Home East
A list of the most recent deficiencies for Shirley Chapman Sholom Home East. 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 Shirley Chapman Sholom Home East. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-09-25 | 2024-10-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-25 | 2024-10-22 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-13 | 2024-07-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-13 | 2024-07-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-13 | 2024-07-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-06-13 | 2024-07-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-13 | 2024-07-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-13 | 2024-07-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-12 | 2024-07-21 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-06-12 | 2024-07-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-12 | 2024-07-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-06-12 | 2024-07-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-12 | 2024-07-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-12 | 2024-07-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-12 | 2024-07-21 | 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 | 2024-06-12 | 2024-07-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-12 | 2024-07-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-30 | 2023-05-03 | 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 | 2023-03-30 | 2023-05-03 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-03-30 | 2023-05-03 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-03-30 | 2023-05-03 | N |
| Post nurse staffing information every day. | Health | 2023-03-30 | 2023-05-03 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-03-30 | 2023-05-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-30 | 2023-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-30 | 2023-05-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-29 | 2023-05-03 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-05-06 | 2021-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-06 | 2021-06-18 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-05-06 | 2021-06-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-06 | 2021-06-18 | 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 | 2021-05-06 | 2021-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-06 | 2021-06-18 | N |
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