Deficiency Records for The North Shore Estates LLC
Updated as of March 01, 2020
This is not the most recent data for The North Shore Estates LLC. For the most recent information, click here.
A list of the most recent deficiencies for The North Shore Estates LLC. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-21 | 2020-01-03 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-11-21 | 2020-01-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-21 | 2020-01-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-21 | 2020-01-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-21 | 2020-01-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-21 | 2020-01-03 | 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 | 2019-11-21 | 2020-01-03 | N |
| Post nurse staffing information every day. | Health | 2019-11-21 | 2020-01-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-21 | 2020-01-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-11-21 | 2020-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2020-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2020-01-03 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-11-21 | 2020-01-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-21 | 2019-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-19 | 2019-12-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-19 | 2019-11-27 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-01-31 | 2019-03-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-01-31 | 2019-03-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-31 | 2019-03-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-01-31 | 2019-03-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-31 | 2019-03-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-31 | 2019-03-15 | N |
| 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 schedul | Health | 2019-01-31 | 2019-03-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-31 | 2019-03-08 | 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 | 2019-01-31 | 2019-03-08 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-01-31 | 2019-03-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-31 | 2019-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-31 | 2019-02-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-31 | 2019-02-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-01-31 | 2019-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-19 | 2018-05-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-19 | 2018-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-19 | 2018-05-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-04-19 | 2018-05-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-04-19 | 2018-05-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-18 | 2018-05-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-19 | 2018-05-09 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-06-15 | 2017-07-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-15 | 2017-07-25 | Y |
