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Deficiency Records for Complete Care at Shrewsbury LLC
View the most recent health deficiencies and inspection results for Complete Care at Shrewsbury LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Shrewsbury LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2025-09-25 | 2025-10-25 | 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 | 2025-09-25 | 2025-10-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-09-25 | 2025-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-25 | 2025-10-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-09-25 | 2025-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-25 | 2025-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-25 | 2025-10-25 | 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 | 2025-09-25 | 2025-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-25 | 2025-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-09-25 | 2025-10-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-09-25 | 2025-10-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-09-25 | 2025-10-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-09-25 | 2025-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-25 | 2025-10-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-09-25 | 2025-10-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-01-16 | 2025-02-22 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-07-23 | 2024-08-09 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-30 | 2024-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-30 | 2024-07-19 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-30 | 2024-07-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-30 | 2024-07-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-30 | 2024-07-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-30 | 2024-07-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-30 | 2024-07-19 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-05-30 | 2024-07-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-30 | 2024-07-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-30 | 2024-07-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-30 | 2024-07-02 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-05-30 | 2024-07-02 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-30 | 2024-07-02 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-05-30 | 2024-07-02 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-30 | 2024-07-02 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-30 | 2024-07-02 | Y |
| 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 | 2024-05-30 | 2024-07-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-30 | 2024-07-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-30 | 2024-07-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-30 | 2024-07-02 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-10 | 2022-04-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-10 | 2022-04-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-10 | 2022-04-10 | 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 | 2022-03-10 | 2022-04-10 | 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 | 2022-03-10 | 2022-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-10 | 2022-04-10 | N |