Deficiency Records for Community Skilled Health Care
Updated as of August 01, 2016
This is not the most recent data for Community Skilled Health Care. For the most recent information, click here.
A list of the most recent deficiencies for Community Skilled Health Care. 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 a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-25 | 2015-07-15 | Y |
| Approved construction type or materials. | Fire Safety | 2015-03-20 | 2015-04-20 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-03-20 | 2015-04-20 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-03-20 | 2015-04-20 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2015-03-20 | 2015-04-20 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2015-03-20 | 2015-04-20 | N |
| 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 | 2015-03-19 | 2015-04-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-03-19 | 2015-04-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-03-19 | 2015-04-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-03-19 | 2015-04-20 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-03-19 | 2015-04-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-19 | 2015-04-20 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-03-19 | 2015-04-20 | N |
| Approved construction type or materials. | Fire Safety | 2013-12-12 | 2013-12-30 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-12-12 | 2013-12-30 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2013-12-12 | 2013-12-30 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-12-12 | 2013-12-30 | 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 | 2013-12-12 | 2013-12-30 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2013-12-12 | 2013-12-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-12-12 | 2013-12-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-12-12 | 2013-12-30 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2013-12-12 | 2013-12-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-12-12 | 2013-12-30 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2013-12-12 | 2013-12-30 | Y |
| 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 | 2013-10-03 | 2013-12-30 | Y |
| Exits that are accessible at all times. | Fire Safety | 2012-09-19 | 2012-12-12 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2012-09-19 | 2012-12-12 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2012-09-20 | 2012-10-23 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2012-09-20 | 2012-10-23 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2012-09-20 | 2012-10-23 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2012-09-20 | 2012-10-23 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2012-09-20 | 2012-10-23 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2012-09-20 | 2012-10-23 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2012-09-20 | 2012-10-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2012-09-20 | 2012-10-23 | N |
| Approved construction type or materials. | Fire Safety | 2012-09-19 | 2012-10-23 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2012-09-19 | 2012-10-23 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2012-09-19 | 2012-10-23 | N |
| Proper backup exit lighting. | Fire Safety | 2012-09-19 | 2012-10-23 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2012-09-19 | 2012-10-23 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2012-09-19 | 2012-10-23 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2012-09-19 | 2012-10-23 | N |
