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Deficiency Records for Baptist Homes of Shelbina
View the most recent health deficiencies and inspection results for Baptist Homes of Shelbina. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Baptist Homes of Shelbina. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-07-01 | 2025-08-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-01 | 2025-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-01 | 2025-08-13 | 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 scheduled meal times. | Health | 2025-07-01 | 2025-08-13 | 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 | 2025-07-01 | 2025-08-13 | N |
| 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 | 2025-07-01 | 2025-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-01 | 2025-08-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-01 | 2025-08-13 | 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 | 2025-07-01 | 2025-08-13 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-07-01 | 2025-08-13 | 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 | 2025-07-01 | 2025-08-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-01 | 2025-08-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-07-01 | 2025-08-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-07-01 | 2025-08-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-07-01 | 2025-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-07-01 | 2025-08-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-07-01 | 2025-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-01 | 2025-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-01 | 2025-08-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-07-01 | 2025-08-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-16 | 2025-06-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-08 | 2025-06-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-04-08 | 2025-05-08 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-02-22 | 2024-04-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-22 | 2024-04-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-22 | 2024-04-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-22 | 2024-03-28 | 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 | 2023-09-13 | 2023-10-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-13 | 2023-10-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-13 | 2023-10-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-09-13 | 2023-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-10-28 | 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 | 2023-09-13 | 2023-10-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-09-13 | 2023-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-13 | 2023-10-28 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-09-13 | 2023-10-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-13 | 2023-10-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Meet other general requirements. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-09-13 | 2023-10-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-07-20 | 2023-08-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-20 | 2020-01-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-20 | 2020-01-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-20 | 2020-01-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-20 | 2020-01-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-20 | 2020-01-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-12-20 | 2020-01-25 | N |