A list of the most recent deficiencies for Complete Care at Shrewsbury LLC. 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? |
|---|---|---|---|---|
| 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-17 | 2022-02-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-17 | 2022-02-15 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-11-26 | 2020-01-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-26 | 2020-01-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-04 | 2019-01-15 | N |
