Deficiency Records for Shirley Chapman Sholom Home East
Updated as of August 01, 2021
This is not the most recent data for Shirley Chapman Sholom Home East. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-10-06 | 2020-11-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-13 | 2020-11-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-08-12 | 2020-09-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-08-12 | 2020-09-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-12 | 2020-08-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-19 | 2019-08-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-07-19 | 2019-08-30 | Y |
| 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 |
| 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 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-22 | 2019-05-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-22 | 2019-05-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-22 | 2019-05-01 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-18 | 2018-09-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-18 | 2018-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-18 | 2018-08-13 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-07-18 | 2018-08-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-20 | 2018-08-13 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-07-20 | 2018-08-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-07-20 | 2018-08-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-20 | 2018-08-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-20 | 2018-08-13 | N |
| 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 | 2018-07-20 | 2018-08-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-18 | 2018-08-02 | N |
