A list of the most recent deficiencies for Salem Care Center. 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 manage his or her financial affairs. | Health | 2023-10-05 | 2023-11-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-10-05 | 2023-11-15 | 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 | 2023-10-05 | 2023-11-15 | 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 | 2023-10-05 | 2023-11-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-05 | 2023-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-05 | 2023-11-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-05 | 2023-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-05 | 2023-11-15 | 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 and emergencies. | Health | 2023-10-05 | 2023-11-15 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-10-05 | 2023-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-11-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-05 | 2023-11-15 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-10-05 | 2023-11-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-10-05 | 2023-11-15 | 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 | 2023-10-05 | 2023-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-10-05 | 2023-11-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-05 | 2023-10-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-19 | 2023-03-04 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-19 | 2023-03-04 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-16 | 2022-09-02 | 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 | 2022-06-16 | 2022-09-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-16 | 2022-09-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-16 | 2022-09-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-16 | 2022-09-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-06-16 | 2022-09-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-16 | 2022-09-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-16 | 2022-08-02 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-06-16 | 2022-08-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-06-16 | 2022-08-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-16 | 2022-08-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-16 | 2022-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-16 | 2022-08-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-16 | 2022-08-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-16 | 2022-08-02 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-06-16 | 2022-08-02 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-06-16 | 2022-07-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-06-16 | 2022-07-31 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-06-16 | 2022-07-31 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-06-16 | 2022-07-31 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-06-16 | 2022-07-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-16 | 2022-07-31 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-06-16 | 2022-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-16 | 2022-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-11 | 2022-04-18 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-11 | 2022-04-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-11 | 2021-07-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-08-08 | 2019-10-26 | 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 | 2019-08-08 | 2019-09-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-08 | 2019-09-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-08 | 2019-09-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-08-08 | 2019-09-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-08 | 2019-09-21 | N |
