Deficiency Records for Sheepshead Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Sheepshead Nursing 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? |
---|---|---|---|---|
Use approved construction type or materials. | Fire Safety | 2022-04-11 | 2022-06-08 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-04-11 | 2022-06-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-11 | 2022-06-08 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-11 | 2022-06-08 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-11 | 2022-06-06 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-11 | 2022-06-06 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-11 | 2022-06-06 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-16 | 2021-08-09 | Y |
Use approved construction type or materials. | Fire Safety | 2019-10-10 | 2019-12-09 | N |
Meet other general requirements. | Fire Safety | 2019-10-10 | 2019-12-09 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-10-10 | 2019-12-09 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-10 | 2019-12-09 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-10 | 2019-12-09 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-10 | 2019-12-02 | 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 | 2019-10-10 | 2019-12-02 | 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 | 2019-10-10 | 2019-12-02 | N |
Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-12-02 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2017-12-11 | 2018-05-15 | N |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2017-12-11 | 2018-01-16 | N |