A list of the most recent deficiencies for Silvercrest. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-06 | 2023-02-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-06 | 2023-02-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-06 | 2023-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-06 | 2023-02-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-06 | 2023-02-06 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-06 | 2023-02-01 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-12-06 | 2023-02-01 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-12-06 | 2023-02-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-12-28 | 2022-02-18 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-11-01 | 2021-12-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-01 | 2021-12-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-16 | 2021-05-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-22 | 2020-10-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-13 | 2018-11-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-09-13 | 2018-11-09 | N |
| Develop a communication plan. | Fire Safety | 2018-09-13 | 2018-11-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-13 | 2018-11-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-13 | 2018-11-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-13 | 2018-11-09 | 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 | 2018-09-13 | 2018-11-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-13 | 2018-11-08 | 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 | 2018-09-13 | 2018-11-08 | 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 | 2018-09-13 | 2018-11-08 | N |
