A list of the most recent deficiencies for Salt River Community Care. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 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 |
| 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 |
| 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 |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Establish policies and procedures for volunteers. | 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 emergency prep training and testing. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Establish staff and initial training requirements. | 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 |
| 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 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-27 | 2023-06-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-27 | 2023-06-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-27 | 2023-06-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-27 | 2023-06-09 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-27 | 2023-06-09 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-04-27 | 2023-06-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-11 | 2023-02-15 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-04-04 | 2022-05-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-03 | 2022-05-17 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-05-05 | 2021-05-21 | Y |
| 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 |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-20 | 2020-01-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-02 | 2018-12-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-11-02 | 2018-12-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-02 | 2018-12-05 | N |
| Provide activities to meet all resident's needs. | Health | 2018-11-02 | 2018-12-05 | 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 | 2018-11-02 | 2018-12-05 | 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 | 2018-11-02 | 2018-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-02 | 2018-12-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-11-02 | 2018-12-05 | N |
