A list of the most recent deficiencies for Silver Ridge Healthcare 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-11-07 | 2023-12-07 | Y |
| 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 | 2023-11-07 | 2023-12-07 | 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 | 2023-11-07 | 2023-12-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-07 | 2023-12-07 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-07 | 2023-12-07 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-11-07 | 2023-11-07 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-05-19 | 2023-07-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-19 | 2023-07-03 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-05-19 | 2023-07-03 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-05-19 | 2023-07-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-19 | 2023-07-03 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-05-19 | 2023-07-03 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-22 | 2023-03-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-22 | 2023-03-31 | Y |
| 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 | 2023-02-22 | 2023-03-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-22 | 2023-02-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-03 | 2022-01-07 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-12-03 | 2022-01-07 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-12-03 | 2022-01-07 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-12-03 | 2022-01-07 | Y |
| Assess the resident when there is a significant change in condition | Health | 2021-12-03 | 2022-01-07 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-03 | 2022-01-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-03 | 2022-01-07 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-12-03 | 2022-01-07 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-12-03 | 2022-01-07 | Y |
| Provide appropriate foot care. | Health | 2021-12-03 | 2022-01-07 | Y |
| 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 | 2021-12-03 | 2022-01-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-03 | 2022-01-07 | Y |
| 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 | 2021-12-03 | 2022-01-07 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-03 | 2022-01-07 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-12-03 | 2022-01-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-03 | 2022-01-07 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-02 | 2022-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-02 | 2022-01-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-02 | 2022-01-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-02 | 2022-01-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-12-02 | 2022-01-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-02 | 2022-01-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-12-02 | 2022-01-05 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-12-02 | 2022-01-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-02 | 2022-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-03 | 2021-12-31 | Y |
| 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 | 2021-12-02 | 2021-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-02 | 2021-12-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-02 | 2021-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-21 | 2021-10-16 | 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 | 2021-09-10 | 2021-10-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-10 | 2021-10-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-14 | 2021-07-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-14 | 2021-07-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-14 | 2021-07-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-14 | 2021-07-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-14 | 2021-07-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-19 | 2019-06-24 | 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 | 2019-04-19 | 2019-06-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-19 | 2019-06-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-19 | 2019-06-24 | 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 | 2019-04-19 | 2019-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-19 | 2019-06-24 | 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 | 2019-04-19 | 2019-06-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-19 | 2019-06-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-19 | 2019-06-24 | 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 | 2019-04-19 | 2019-06-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-19 | 2019-06-24 | 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 | 2019-04-19 | 2019-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-19 | 2019-06-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-19 | 2019-06-24 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
| 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 | 2019-04-26 | 2019-06-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-04-26 | 2019-06-21 | N |
