Deficiency Records for Shaker Gardens Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Shaker Gardens Nursing and Rehabilitation Center. 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 provides adequate supervision to prevent accidents. | Health | 2024-02-13 | 2024-02-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-10 | 2023-01-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-17 | 2022-11-23 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-05-02 | 2022-06-17 | 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 | 2022-05-02 | 2022-06-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-02 | 2022-06-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-02 | 2022-06-17 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-05-02 | 2022-06-17 | N |
| Dispose of garbage and refuse properly. | Health | 2022-05-02 | 2022-06-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-02 | 2022-06-17 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-05-02 | 2022-06-17 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-02 | 2022-06-17 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-05-02 | 2022-06-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-02 | 2022-06-17 | Y |
| 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 | 2022-04-27 | 2022-06-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-04-27 | 2022-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-27 | 2022-06-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-04-27 | 2022-06-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-27 | 2022-06-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-27 | 2022-06-17 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-04-27 | 2022-06-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-11 | 2022-02-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-11 | 2022-02-01 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-11 | 2022-02-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-11 | 2022-02-01 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-22 | 2019-06-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-22 | 2019-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-21 | 2019-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-21 | 2019-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-21 | 2019-06-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-12 | 2018-05-31 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-04-12 | 2018-05-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-04-12 | 2018-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-12 | 2018-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-12 | 2018-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-10 | 2018-05-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-04-10 | 2018-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-10 | 2018-05-31 | N |
| Use approved construction type or materials. | Fire Safety | 2018-04-10 | 2018-05-04 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-27 | Not Fixed | N |
