Deficiency Records for The Shannon Gray Rehabilitation and Recovery Center
Updated as of March 01, 2018
This is not the most recent data for The Shannon Gray Rehabilitation and Recovery Center. For the most recent information, click here.
A list of the most recent deficiencies for The Shannon Gray Rehabilitation and Recovery 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? |
---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-07-13 | 2017-08-03 | N |
Have an alternate power supply for its alarm system. | Fire Safety | 2017-07-13 | 2017-08-03 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-07-13 | 2017-08-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-13 | 2017-08-03 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-07-13 | 2017-08-03 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-07-13 | 2017-08-03 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-13 | 2017-08-03 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-09 | 2017-07-07 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-09 | 2017-07-07 | N |
Dispose of garbage and refuse properly. | Health | 2017-06-09 | 2017-07-07 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-09 | 2017-07-07 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-06-09 | 2017-07-07 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-02-28 | 2017-03-15 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-28 | 2017-03-15 | Y |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-08-11 | 2016-09-06 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-08-11 | 2016-09-06 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-11 | 2016-09-06 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-07-08 | 2016-08-05 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-07-08 | 2016-08-05 | N |
Post nurse staffing information/data on a daily basis. | Health | 2016-07-08 | 2016-08-05 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-07-08 | 2016-08-05 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-07-08 | 2016-08-05 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-17 | 2016-04-13 | Y |
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-09-25 | 2015-10-16 | N |
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-09-25 | 2015-10-16 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2015-08-27 | 2015-09-18 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-08-27 | 2015-09-18 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-08-27 | 2015-09-18 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-08-27 | 2015-09-18 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-06-18 | 2015-07-01 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-17 | 2015-04-08 | Y |