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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-29 | 2024-03-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-01 | 2024-02-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-01 | 2024-02-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-01 | 2024-02-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-01 | 2024-02-22 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-02-01 | 2024-02-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-01 | 2024-02-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-01 | 2024-02-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-01 | 2024-02-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-29 | 2024-02-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-29 | 2024-02-22 | 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 | 2023-02-24 | 2023-03-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-02-24 | 2023-03-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-24 | 2023-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-24 | 2023-03-31 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-02-23 | 2023-03-23 | 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 | 2021-09-16 | 2021-10-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-16 | 2021-10-22 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-09-16 | 2021-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-16 | 2021-10-22 | N |
| 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 | 2021-09-16 | 2021-10-22 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-09-14 | 2021-10-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-14 | 2021-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-04 | 2021-06-17 | Y |
