Deficiency Records for Shady Lawn Nursing Home
Updated as of May 01, 2019
This is not the most recent data for Shady Lawn Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for Shady Lawn Nursing Home. 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? |
|---|---|---|---|---|
| Establish policies and procedures for volunteers. | Fire Safety | 2018-06-26 | 2018-07-20 | 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 | 2018-06-26 | 2018-07-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-06-26 | 2018-07-20 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2018-06-26 | 2018-07-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-28 | 2018-07-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-28 | 2018-07-20 | N |
| Provide activities to meet all resident's needs. | Health | 2018-06-28 | 2018-07-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-28 | 2018-07-20 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-06-28 | 2018-07-20 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2018-06-28 | 2018-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-28 | 2018-07-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-06-28 | 2018-07-20 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2017-11-27 | 2017-12-12 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-04-25 | 2017-05-17 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-04-25 | 2017-05-17 | 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 | 2017-04-25 | 2017-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-25 | 2017-05-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-04-25 | 2017-05-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-04-25 | 2017-05-17 | 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 | 2017-04-20 | 2017-05-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-20 | 2017-05-17 | 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 | 2017-04-20 | 2017-05-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-20 | 2017-05-17 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-04-20 | 2017-05-17 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-02-08 | 2016-05-06 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-02-08 | 2016-05-06 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-02-08 | 2016-05-06 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-02-08 | 2016-05-06 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-02-08 | 2016-05-06 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-02-08 | 2016-05-06 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-02-08 | 2016-05-06 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-08 | 2016-05-06 | N |
| Portable fire extinguishers. | Fire Safety | 2016-02-08 | 2016-05-06 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-02-08 | 2016-05-06 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2016-02-08 | 2016-05-06 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-02-08 | 2016-05-06 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-02-08 | 2016-05-06 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-02-10 | 2016-05-06 | N |
| Maintain comfortable and safe temperature levels. | Health | 2016-02-10 | 2016-05-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-10 | 2016-05-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-10 | 2016-05-06 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-02-10 | 2016-05-06 | 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 | 2016-02-10 | 2016-05-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-10 | 2016-05-06 | 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 | 2016-02-10 | 2016-05-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-10 | 2016-05-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-10 | 2016-05-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-02-10 | 2016-05-06 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-10 | 2016-05-06 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-02-08 | 2016-03-14 | N |
