Deficiency Records for Silver Lake Specialized Rehab and Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Silver Lake Specialized Rehab and Care 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? |
|---|---|---|---|---|
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-04-27 | 2023-05-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-28 | 2022-11-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-28 | 2022-11-28 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-20 | 2021-10-29 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-09-20 | 2021-10-29 | 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 | 2021-09-20 | 2021-10-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-20 | 2021-10-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-20 | 2021-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-20 | 2021-10-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-09-13 | 2019-12-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-13 | 2019-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-13 | 2019-12-13 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-09-13 | 2019-12-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-13 | 2019-11-12 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-13 | 2019-11-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-13 | 2019-11-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-09-13 | 2019-11-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-13 | 2019-11-11 | 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 | 2019-09-13 | 2019-11-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-13 | 2019-11-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-13 | 2019-11-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-13 | 2019-11-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-09-13 | 2019-11-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-13 | 2019-11-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-09-13 | 2019-11-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-13 | 2019-11-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-09-13 | 2019-11-01 | N |
| Provide activities to meet all resident's needs. | Health | 2019-09-13 | 2019-10-07 | 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 | 2019-09-13 | 2019-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-13 | 2019-10-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-07-16 | 2018-10-16 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-07-16 | 2018-10-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-16 | 2018-10-08 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-07-16 | 2018-10-08 | 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 | 2018-07-16 | 2018-10-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-16 | 2018-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-16 | 2018-10-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-16 | 2018-10-08 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-07-16 | 2018-10-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-16 | 2018-10-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-07-16 | 2018-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-16 | 2018-10-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-07-16 | 2018-10-08 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-16 | 2018-10-06 | 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 | 2018-07-16 | 2018-09-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-07-16 | 2018-08-27 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-07-16 | 2018-08-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-16 | 2018-08-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-07-16 | 2018-08-23 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-07-16 | 2018-08-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-16 | 2018-08-23 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-07-16 | 2018-08-23 | 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 | 2018-07-16 | 2018-08-23 | 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 | 2018-07-16 | 2018-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-16 | 2018-08-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-07-16 | 2018-07-26 | N |
