Deficiency Records for Skies Healthcare and Rehabilitation Center
Updated as of May 01, 2020
This is not the most recent data for Skies Healthcare and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Skies Healthcare and Rehabilitation 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-01-23 | 2020-02-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-16 | 2019-11-07 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-08-23 | 2019-09-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-23 | 2019-09-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-23 | 2019-09-23 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-23 | 2019-09-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-23 | 2019-09-23 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-08-23 | 2019-09-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-23 | 2019-09-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-23 | 2019-09-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-23 | 2019-09-23 | 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 | 2019-08-23 | 2019-09-23 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-08-23 | 2019-09-23 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-08-07 | 2019-09-22 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-08-07 | 2019-09-22 | N |
| Develop a communication plan. | Fire Safety | 2019-08-07 | 2019-09-22 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-08-07 | 2019-09-22 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-08-07 | 2019-09-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-08-07 | 2019-09-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-07 | 2019-09-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-07 | 2019-09-22 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-08-07 | 2019-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-07 | 2019-09-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-07 | 2019-09-22 | N |
| Be properly staffed | Fire Safety | 2019-08-07 | 2019-09-22 | 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 | 2018-09-10 | 2018-12-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-10 | 2018-12-17 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-09-10 | 2018-12-17 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-09-10 | 2018-10-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-10 | 2018-10-17 | N |
| 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 | 2018-09-10 | 2018-10-17 | N |
| 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 | 2018-09-10 | 2018-10-17 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-09-10 | 2018-10-17 | 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 | 2018-09-10 | 2018-10-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-10 | 2018-10-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-10 | 2018-10-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-09-10 | 2018-10-17 | 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 | 2018-09-10 | 2018-10-17 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-09-10 | 2018-10-17 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-09-10 | 2018-10-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-10 | 2018-10-17 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-09-10 | 2018-10-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-09-10 | 2018-10-17 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-09-10 | 2018-10-17 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2018-09-10 | 2018-10-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-10 | 2018-10-17 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-09-10 | 2018-10-17 | Y |
| 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 | 2018-09-10 | 2018-10-17 | Y |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-08-28 | 2018-09-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-28 | 2018-09-10 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-08-28 | 2018-09-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-11-22 | 2017-12-22 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-11-22 | 2017-12-22 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-11-22 | 2017-12-22 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-11-22 | 2017-12-22 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-11-22 | 2017-12-22 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-11-22 | 2017-12-22 | Y |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-11-22 | 2017-12-22 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-11-22 | 2017-12-22 | 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 | 2017-07-18 | 2017-08-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-18 | 2017-08-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-18 | 2017-08-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-07-18 | 2017-08-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-18 | 2017-08-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-07-18 | 2017-08-18 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-07-17 | 2017-08-16 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-17 | 2017-08-16 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-17 | 2017-08-16 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-07-17 | 2017-08-16 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-07-17 | 2017-08-16 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-17 | 2017-08-16 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-17 | 2017-08-16 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-17 | 2017-08-16 | Y |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-07-17 | 2017-08-16 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-07-17 | 2017-08-16 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-17 | 2017-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-17 | 2017-08-16 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-07-17 | 2017-08-16 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-07-17 | 2017-08-16 | Y |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-07-17 | 2017-08-16 | Y |
| Make sure that doctors visit residents regularly, as required. | Health | 2017-07-17 | 2017-08-16 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-07-17 | 2017-08-16 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-17 | 2017-08-16 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-07-17 | 2017-08-16 | Y |
