Deficiency Records for South Shore Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for South Shore Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-08 | 2023-07-17 | 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 | 2022-07-19 | 2022-10-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-07-19 | 2022-10-13 | 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 | 2022-07-19 | 2022-10-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-19 | 2022-10-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-19 | 2022-10-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-19 | 2022-10-13 | N |
| Have a properly installed medical gas master alarm panel. | Fire Safety | 2022-07-19 | 2022-10-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-19 | 2022-10-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-19 | 2022-08-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-19 | 2022-08-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-19 | 2022-08-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-19 | 2022-08-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-19 | 2022-08-02 | N |
| Dispose of garbage and refuse properly. | Health | 2021-03-01 | 2021-03-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-17 | 2020-02-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-17 | 2020-02-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-17 | 2020-02-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-17 | 2020-02-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-17 | 2020-02-11 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-12-17 | 2020-02-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-17 | 2020-02-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-17 | 2020-02-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-17 | 2020-02-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-17 | 2018-11-15 | 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 | 2018-09-17 | 2018-11-15 | 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 | 2018-09-17 | 2018-11-15 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-09-17 | 2018-11-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-09-17 | 2018-11-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-09-17 | 2018-11-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-17 | 2018-11-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-09-17 | 2018-11-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-09-17 | 2018-11-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-09-17 | 2018-11-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-09-17 | 2018-11-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-12-17 | Not Fixed | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-12-17 | Not Fixed | N |
