A list of the most recent deficiencies for Silver 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? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2023-12-12 | 2024-01-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-12 | 2024-01-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-12 | 2024-01-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-12 | 2024-01-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-12 | 2024-01-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-12-12 | 2024-01-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-12 | 2024-01-08 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-12-12 | 2024-01-04 | 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 | 2023-12-12 | 2024-01-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-12 | 2024-01-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-12 | 2024-01-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-12 | 2024-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-12 | 2024-01-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-31 | 2023-07-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-31 | 2023-07-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-31 | 2023-07-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-31 | 2023-06-30 | 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 | 2023-05-31 | 2023-06-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-31 | 2023-06-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-31 | 2023-06-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-05-31 | 2023-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-31 | 2023-06-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-31 | 2023-06-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-31 | 2023-06-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-31 | 2023-06-14 | 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 | 2023-05-31 | 2023-06-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-31 | 2023-06-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-31 | 2023-06-14 | 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 | 2023-05-31 | 2023-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-31 | 2023-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-31 | 2023-06-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-31 | 2023-06-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-31 | 2023-06-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-31 | 2023-06-01 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-08-29 | 2022-12-23 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2022-08-29 | 2022-11-25 | 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 | 2022-08-29 | 2022-11-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-29 | 2022-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-29 | 2022-11-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-18 | 2022-11-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-18 | 2022-11-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-29 | 2022-10-29 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-08-29 | 2022-10-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-29 | 2022-10-28 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-08-29 | 2022-10-27 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-29 | 2022-10-26 | 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 | 2022-08-29 | 2022-10-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-29 | 2022-10-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-29 | 2022-10-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-29 | 2022-10-22 | 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 | 2022-08-29 | 2022-10-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-29 | 2022-10-22 | N |
| Respond appropriately to all alleged violations. | Health | 2022-08-29 | 2022-10-22 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-08-29 | 2022-10-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-29 | 2022-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-29 | 2022-10-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-29 | 2022-10-22 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-08-29 | 2022-10-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-29 | 2022-10-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-29 | 2022-10-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-29 | 2022-10-22 | 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 | 2022-08-29 | 2022-10-22 | 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 | 2022-08-29 | 2022-10-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-29 | 2022-10-22 | N |
| Dispose of garbage and refuse properly. | Health | 2022-08-29 | 2022-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-29 | 2022-10-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-08-29 | 2022-10-22 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-08-29 | 2022-10-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-29 | 2022-10-22 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-08-29 | 2022-10-22 | N |
| Keep all essential equipment working safely. | Health | 2022-08-29 | 2022-10-22 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2022-08-29 | 2022-10-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-29 | 2022-10-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-29 | 2022-10-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-29 | 2022-10-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-29 | 2022-10-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-29 | 2022-10-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-29 | 2022-10-22 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-08-29 | 2022-10-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-29 | 2022-10-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-29 | 2022-09-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-12 | 2022-06-23 | 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 | 2022-05-12 | 2022-06-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-12 | 2022-06-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-01 | 2022-02-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-01 | 2022-01-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-01 | 2022-01-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-01 | 2022-01-18 | 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 | 2021-11-01 | 2021-12-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-01 | 2021-12-28 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-11-01 | 2021-12-28 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-11-01 | 2021-12-28 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-11-01 | 2021-12-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-03 | 2021-09-24 | 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 | 2021-08-13 | 2021-08-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-13 | 2021-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-13 | 2021-08-30 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-08-13 | 2021-08-30 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-03-23 | 2021-03-31 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-23 | 2021-03-31 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-03-23 | 2021-03-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-23 | 2021-03-31 | Y |
