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 |