Deficiency Records for The Shannon Gray Rehabilitation and Recovery Center
Updated as of October 01, 2020
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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-17 | 2019-09-09 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-16 | 2019-08-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-16 | 2019-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-16 | 2019-08-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-16 | 2019-08-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-16 | 2019-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-16 | 2019-08-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-06 | 2019-07-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-06 | 2019-07-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-06 | 2019-07-04 | 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 | 2019-06-06 | 2019-07-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-06 | 2019-07-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-06 | 2019-07-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-06 | 2019-07-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-06 | 2019-07-04 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-06-06 | 2019-07-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-06-12 | 2018-07-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-06-12 | 2018-07-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-12 | 2018-07-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-05-18 | 2018-06-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-18 | 2018-06-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-18 | 2018-06-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-18 | 2018-06-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-18 | 2018-06-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-18 | 2018-06-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-18 | 2018-06-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-05-18 | 2018-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-18 | 2018-06-14 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-05-18 | 2018-06-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-18 | 2018-06-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-18 | 2018-06-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-18 | 2018-06-09 | 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 | 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 |
