A list of the most recent deficiencies for Schoenbrunn Healthcare. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-27 | 2023-10-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-18 | 2022-12-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-18 | 2022-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-18 | 2022-12-08 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-03-24 | 2022-05-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-24 | 2022-05-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-24 | 2022-05-06 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-03-24 | 2022-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-24 | 2022-05-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-03-21 | 2022-05-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-21 | 2022-05-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-21 | 2022-05-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-21 | 2022-05-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-21 | 2022-05-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-21 | 2022-05-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-21 | 2022-05-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-21 | 2022-05-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-21 | 2022-05-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-21 | 2022-05-06 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-02-05 | 2022-02-15 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-06-13 | 2019-07-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-13 | 2019-07-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-13 | 2019-07-09 | 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 | 2019-06-13 | 2019-07-09 | 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 | 2019-06-13 | 2019-07-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-13 | 2019-07-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-13 | 2019-07-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-06-11 | 2019-07-09 | 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 | 2019-06-11 | 2019-07-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-11 | 2019-07-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-11 | 2019-07-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-11 | 2019-07-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-11 | 2019-07-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-11 | 2019-07-09 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-06-11 | 2019-07-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-11 | 2019-07-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-11 | 2019-07-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-05-17 | 2018-07-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-05-17 | 2018-07-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-17 | 2018-07-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-17 | 2018-07-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-17 | 2018-07-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-17 | 2018-07-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-16 | 2018-07-27 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2018-05-16 | 2018-07-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-16 | 2018-07-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-05-16 | 2018-07-27 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2018-05-16 | 2018-07-27 | N |
