Deficiency Records for Shirley Chapman Sholom Home East

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Updated as of May 01, 2024

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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?
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
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-31 2022-05-06 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-03-31 2022-03-20 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-03-31 2022-03-19 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-02-17 2022-03-16 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2021-12-01 2022-01-05 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 2021-07-12 2021-08-16 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-12 2021-08-16 Y
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
Protect each resident from the wrongful use of the resident's belongings or money. Health 2021-05-06 2021-06-18 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-05-09 2019-06-18 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2019-05-09 2019-06-18 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-05-09 2019-06-18 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-05-08 2019-06-18 N

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