A list of the most recent deficiencies for Shawnee Manor. 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? |
|---|---|---|---|---|
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-09-07 | 2023-09-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-23 | 2023-01-27 | Y |
| 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 | 2023-01-23 | 2023-01-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-18 | 2022-09-09 | 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 | 2022-08-18 | 2022-09-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-08-18 | 2022-09-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-18 | 2022-09-09 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2022-08-17 | 2022-09-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-17 | 2022-09-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-17 | 2022-09-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-28 | 2022-02-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-28 | 2022-02-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-28 | 2022-02-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-23 | 2021-12-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-07 | 2021-10-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-24 | 2021-10-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-24 | 2021-10-21 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-09-24 | 2021-10-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-24 | 2021-10-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-01 | 2021-07-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-05 | 2021-04-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-15 | 2019-09-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-15 | 2019-09-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-15 | 2019-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-15 | 2019-09-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-15 | 2019-09-26 | 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 | 2019-08-19 | 2019-09-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-19 | 2019-09-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-07-26 | 2018-08-24 | N |
| Respond appropriately to all alleged violations. | Health | 2018-07-26 | 2018-08-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-26 | 2018-08-24 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-07-26 | 2018-08-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-26 | 2018-08-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-26 | 2018-08-24 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-07-26 | 2018-08-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-07-26 | 2018-08-24 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-07-26 | 2018-08-24 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-07-26 | 2018-08-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-26 | 2018-08-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-26 | 2018-08-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-26 | 2018-08-24 | N |
