Deficiency Records for Residence at Salem Woods
Updated as of November 01, 2020
This is not the most recent data for Residence at Salem Woods. For the most recent information, click here.
A list of the most recent deficiencies for Residence at Salem Woods. 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? |
|---|---|---|---|---|
| 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 | 2019-09-30 | 2019-11-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-09-30 | 2019-11-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-30 | 2019-11-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-30 | 2019-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-30 | 2019-11-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-09-30 | 2019-11-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-30 | 2019-11-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-03 | 2019-11-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-01 | 2019-07-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-01 | 2019-07-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-24 | 2018-11-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-24 | 2018-11-19 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-28 | 2018-09-21 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2018-08-28 | 2018-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-28 | 2018-09-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-28 | 2018-09-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-08-28 | 2018-09-21 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-08-28 | 2018-09-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-28 | 2018-09-21 | 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 | 2018-08-29 | 2018-09-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-08-29 | 2018-09-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-29 | 2018-09-21 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-08-29 | 2018-09-21 | Y |
| 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 | 2018-08-29 | 2018-09-21 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-08-29 | 2018-09-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-29 | 2018-09-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-29 | 2018-09-21 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-29 | 2018-09-21 | Y |
| 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 | 2018-08-29 | 2018-09-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-08-29 | 2018-09-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-29 | 2018-09-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-29 | 2018-09-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-29 | 2018-09-21 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-29 | 2018-09-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-29 | 2018-09-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-02-28 | 2018-03-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-02-28 | 2018-03-25 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-09-05 | 2017-09-29 | 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 | 2017-09-05 | 2017-09-29 | Y |
| 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 | 2017-09-05 | 2017-09-29 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-06-29 | 2017-08-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-29 | 2017-08-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-29 | 2017-08-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-06-29 | 2017-08-11 | N |
| Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. | Health | 2017-06-29 | 2017-08-11 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-06-29 | 2017-08-11 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-06-29 | 2017-08-11 | 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 | 2017-06-29 | 2017-08-11 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-06-29 | 2017-08-11 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-29 | 2017-08-11 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-06-29 | 2017-08-11 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-06-29 | 2017-08-11 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-29 | 2017-08-11 | N |
