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Deficiency Records for Divine Rehabilitation and Nursing at Shane Hill

View the most recent health deficiencies and inspection results for Divine Rehabilitation and Nursing at Shane Hill. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Divine Rehabilitation and Nursing at Shane Hill. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-06-04 2025-05-12 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-06-04 2025-05-12 Y
Respond appropriately to all alleged violations. Health 2025-03-14 2025-03-31 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2024-11-21 2024-11-05 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-04-10 2024-05-17 Y
Honor the resident's right to manage his or her financial affairs. Health 2024-04-10 2024-05-17 Y
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 2024-04-10 2024-05-17 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-04-10 2024-05-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-04-10 2024-05-17 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-04-10 2024-05-17 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-11 2024-05-17 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-03-11 2024-05-17 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-04-10 2024-05-17 Y
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-04-10 2024-05-17 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-10 2024-05-17 Y
Install an approved automatic sprinkler system. Fire Safety 2024-04-10 2024-05-17 Y
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-04-10 2024-05-17 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-04-10 2024-05-17 Y
Establish emergency prep training and testing. Fire Safety 2024-04-10 2024-05-17 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2024-04-10 2024-05-17 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-04-10 2024-05-17 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-04-10 2024-05-17 Y
Ensure that residents are free from significant medication errors. Health 2024-04-10 2024-05-17 Y
Provide and implement an infection prevention and control program. Health 2024-04-10 2024-05-17 Y
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-03-11 2024-04-02 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 2023-04-27 2023-06-30 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-04-27 2023-06-30 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-04-27 2023-06-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-27 2023-06-30 N
Provide and implement an infection prevention and control program. Health 2023-04-27 2023-06-30 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-04-27 2023-06-30 N
Have proper medical gas storage and administration areas. Fire Safety 2023-04-27 2023-06-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-04-27 2023-06-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-04-27 2023-06-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-04-27 2023-06-30 N
Provide a written emergency evacuation plan. Fire Safety 2023-04-27 2023-06-30 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-04-27 2023-06-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-27 2023-06-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-04-27 2023-06-30 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-04-27 2023-06-30 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 2020-02-20 2020-03-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-02-20 2020-03-31 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2020-02-20 2020-03-31 N
Provide or obtain dental services for each resident. Health 2020-02-20 2020-03-31 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2020-02-20 2020-03-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-02-20 2020-03-31 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2020-02-20 2020-03-31 N
Provide a written emergency evacuation plan. Fire Safety 2020-02-20 2020-03-31 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2020-02-20 2020-03-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-02-20 2020-03-31 N
Install an approved automatic sprinkler system. Fire Safety 2020-02-20 2020-03-31 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2020-02-20 2020-03-31 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2020-02-20 2020-03-31 N

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