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Deficiency Records for Community Skilled Healthcare
View the most recent health deficiencies and inspection results for Community Skilled Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Community Skilled Healthcare. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2026-04-17 | 2026-05-14 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-03-04 | 2026-04-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-04 | 2026-04-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-03-04 | 2026-04-01 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2026-03-04 | 2026-04-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-04 | 2026-04-01 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-06-12 | 2025-07-08 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-06-12 | 2025-07-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-12 | 2025-07-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-12 | 2025-07-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-12 | 2025-07-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-12 | 2025-07-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-06-12 | 2025-07-08 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-06-12 | 2025-07-08 | Y |
| Post nurse staffing information every day. | Health | 2025-06-12 | 2025-07-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-12-09 | 2024-12-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-26 | 2024-09-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-26 | 2024-09-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-26 | 2024-09-06 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-08-26 | 2024-09-06 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-16 | 2024-08-27 | 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 | 2024-07-23 | 2024-08-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-23 | 2024-08-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-23 | 2024-08-26 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-07-23 | 2024-08-26 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-07-23 | 2024-08-26 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-07-23 | 2024-08-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-16 | 2024-07-23 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-16 | 2024-07-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-16 | 2024-07-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-16 | 2024-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-16 | 2024-07-23 | 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 | 2024-05-16 | 2024-07-23 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-16 | 2024-07-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-16 | 2024-07-23 | Y |
| Use approved construction type or materials. | Fire Safety | 2024-05-16 | 2024-07-03 | 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 | 2024-05-16 | 2024-07-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-16 | 2024-07-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-16 | 2024-07-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-16 | 2024-07-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-16 | 2024-07-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-16 | 2024-07-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-16 | 2024-07-02 | N |
| Respond appropriately to all alleged violations. | Health | 2024-04-03 | 2024-04-12 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-04-03 | 2024-04-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-21 | 2024-03-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-05 | 2024-01-08 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-11-07 | 2023-11-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-18 | 2023-10-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-18 | 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 | 2023-09-18 | 2023-10-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-15 | 2023-08-08 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-11-04 | 2022-11-25 | 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 | 2022-11-04 | 2022-11-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-04 | 2022-11-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-04 | 2022-11-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-04 | 2022-11-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-04 | 2022-11-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-04 | 2022-11-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-04 | 2022-11-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-04 | 2022-11-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-12 | 2020-01-08 | 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 | 2019-12-12 | 2020-01-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-12 | 2020-01-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-12 | 2020-01-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-12 | 2020-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-12 | 2020-01-08 | 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 | 2019-12-12 | 2020-01-08 | 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 | 2019-12-12 | 2020-01-08 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-12-12 | 2020-01-08 | N |
| Use approved construction type or materials. | Fire Safety | 2022-11-04 | Not Fixed | N |
| Use approved construction type or materials. | Fire Safety | 2019-12-12 | Not Fixed | N |