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Deficiency Records for The Shores of Worthington
View the most recent health deficiencies and inspection results for The Shores of Worthington. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Shores of Worthington. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2026-04-30 | 2026-05-21 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2026-04-30 | 2026-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-04-30 | 2026-05-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-04-30 | 2026-05-21 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2026-04-30 | 2026-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-04-30 | 2026-05-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-04-30 | 2026-05-21 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-04-30 | 2026-05-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2026-04-30 | 2026-05-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2026-04-30 | 2026-05-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-04-30 | 2026-05-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-04-30 | 2026-05-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2026-04-30 | 2026-05-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-04-30 | 2026-05-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-04-30 | 2026-05-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2026-04-30 | 2026-05-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2026-04-30 | 2026-05-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-04-30 | 2026-05-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2026-02-19 | 2026-03-26 | Y |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2026-02-19 | 2026-03-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-19 | 2026-02-07 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2025-03-04 | 2025-09-30 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-03-04 | 2025-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-04 | 2025-05-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-04 | 2025-05-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-03-04 | 2025-05-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-04 | 2025-05-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-04 | 2025-05-14 | 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 | 2025-03-04 | 2025-05-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-04 | 2025-05-14 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2025-03-04 | 2025-05-14 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-03-04 | 2025-05-14 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-03-04 | 2025-05-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-11 | 2025-05-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-11 | 2025-05-08 | Y |
| 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 | 2025-04-11 | 2025-05-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-11 | 2025-05-08 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-03-04 | 2025-04-08 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2025-03-04 | 2025-04-08 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-03-04 | 2025-04-08 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2025-03-04 | 2025-04-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-03-04 | 2025-04-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-03-04 | 2025-04-03 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-03-04 | 2025-04-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-03-04 | 2025-04-03 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2025-03-04 | 2025-04-03 | 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 | 2025-03-04 | 2025-04-03 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-03-04 | 2025-04-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2025-03-04 | 2025-04-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-03-04 | 2025-04-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-04 | 2025-04-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-03-04 | 2025-04-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-03-04 | 2025-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-04 | 2025-04-03 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2025-03-04 | 2025-04-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-04 | 2025-04-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-04 | 2025-04-03 | 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 | 2025-03-04 | 2025-04-03 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-03-04 | 2025-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-04 | 2025-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-04 | 2025-04-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-03-04 | 2025-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-15 | 2025-02-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-12 | 2025-01-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-12 | 2025-01-06 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-12-12 | 2025-01-06 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-12-12 | 2025-01-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-12 | 2025-01-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-12 | 2025-01-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-29 | 2024-09-04 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-01 | 2024-05-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-01 | 2024-04-23 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-21 | 2024-02-01 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-12-21 | 2024-01-28 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-21 | 2024-01-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-21 | 2024-01-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-21 | 2024-01-28 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-12-21 | 2024-01-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-21 | 2024-01-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-21 | 2024-01-28 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-12-21 | 2024-01-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-21 | 2024-01-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-21 | 2024-01-28 | 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 | 2023-12-21 | 2024-01-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-21 | 2024-01-28 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-12-21 | 2024-01-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-21 | 2024-01-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-21 | 2024-01-16 | N |