Deficiency Records for South Shore Rehabilitation and Nursing Center
Updated as of August 01, 2024
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Deficiency Records for South Shore Rehabilitation and Nursing Center
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.
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? |
|---|---|---|---|---|
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-04-11 | 2024-06-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-11 | 2024-06-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-11 | 2024-06-05 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-04-11 | 2024-06-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-11 | 2024-06-05 | 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 | 2024-04-11 | 2024-05-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-11 | 2024-05-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-11 | 2024-05-27 | 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 | 2024-04-11 | 2024-05-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-11 | 2024-05-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-11 | 2024-05-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-11 | 2024-05-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-11 | 2024-05-27 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-04-11 | 2024-05-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-11 | 2024-05-27 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-04-11 | 2024-05-27 | Y |
| 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 |
| 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 |
| 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 |
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