A list of the most recent deficiencies for Seneca Nursing. 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 organize and participate in resident/family groups in the facility. | Health | 2023-03-06 | 2023-04-18 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-03-06 | 2023-04-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-06 | 2023-04-18 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-06 | 2023-04-18 | 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 | 2023-03-06 | 2023-04-18 | 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 | 2023-03-06 | 2023-04-18 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-03-06 | 2023-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-06 | 2023-04-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-06 | 2023-04-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-06 | 2023-04-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-06 | 2023-04-18 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-03-06 | 2023-04-18 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-03-06 | 2023-04-18 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-03-06 | 2023-04-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-06 | 2023-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-06 | 2023-04-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-06 | 2023-04-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-06 | 2023-04-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-06 | 2023-04-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-03-06 | 2023-04-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-06 | 2022-07-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-06 | 2022-07-15 | Y |
| 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 | 2019-12-12 | 2020-01-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-12 | 2020-01-09 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-11-29 | 2019-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-29 | 2019-01-12 | N |
| Keep all essential equipment working safely. | Health | 2018-11-29 | 2019-01-12 | N |
