A list of the most recent deficiencies for Shawneespring Health Care 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? |
|---|---|---|---|---|
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-11-27 | 2023-12-01 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-04-03 | 2023-04-13 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-30 | 2023-02-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-30 | 2023-02-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-30 | 2023-02-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-30 | 2023-02-16 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-01-30 | 2023-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-30 | 2023-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-30 | 2023-02-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-30 | 2023-02-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-26 | 2023-02-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-26 | 2023-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-30 | 2022-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-18 | 2022-03-30 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-18 | 2022-03-30 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-10 | 2021-11-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-20 | 2021-09-02 | Y |
| 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 | 2021-06-17 | 2021-06-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-15 | 2021-04-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2019-12-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-11-20 | 2019-12-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-20 | 2019-12-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-20 | 2019-12-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-20 | 2019-12-18 | 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 | 2018-09-27 | 2018-10-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-27 | 2018-10-05 | N |
