A list of the most recent deficiencies for South Haven Living 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? |
|---|---|---|---|---|
| Meet other general requirements that are deficient. | Fire Safety | 2023-06-07 | 2023-07-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-07 | 2023-07-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-07 | 2023-07-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-07 | 2023-07-05 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-06-07 | 2023-07-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-10 | 2022-02-07 | 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 | 2022-01-10 | 2022-02-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-10 | 2022-02-07 | 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 | 2022-01-10 | 2022-02-07 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-01-10 | 2022-02-07 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-10 | 2022-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-10 | 2022-02-07 | Y |
| 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 | 2022-01-04 | 2022-02-07 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-01-04 | 2022-02-07 | 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 | 2022-01-04 | 2022-02-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-03 | 2020-01-22 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-12-03 | 2020-01-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-05 | 2020-01-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-05 | 2020-01-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-05 | 2020-01-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-12-05 | 2020-01-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-05 | 2020-01-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-05 | 2020-01-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-05 | 2020-01-19 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-12-05 | 2020-01-19 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-12-05 | 2020-01-19 | 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 | 2019-12-05 | 2020-01-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-05 | 2020-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2020-01-19 | N |
