Deficiency Records for The Springs Skilled Nursing and Therapy
Updated as of October 01, 2021
This is not the most recent data for The Springs Skilled Nursing and Therapy. For the most recent information, click here.
A list of the most recent deficiencies for The Springs Skilled Nursing and Therapy. 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 treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-29 | 2021-05-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-29 | 2021-05-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-29 | 2021-05-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-15 | 2021-05-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-03-15 | 2021-05-09 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-03-15 | 2021-03-24 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-03-15 | 2021-03-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-15 | 2021-03-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-03-15 | 2021-03-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-15 | 2021-03-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-15 | 2021-03-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-15 | 2021-03-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-03-15 | 2021-03-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-15 | 2021-03-24 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-03-15 | 2021-03-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-15 | 2021-03-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-03-15 | 2021-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-15 | 2021-03-24 | N |
| 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 | 2020-10-22 | 2020-11-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-03-05 | 2020-05-05 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-29 | 2019-12-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-29 | 2019-12-03 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-10-29 | 2019-12-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-10-31 | 2019-12-03 | 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 | 2019-10-31 | 2019-12-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-31 | 2019-12-03 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-10-31 | 2019-12-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-31 | 2019-12-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-18 | 2018-10-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-18 | 2018-10-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-09-18 | 2018-10-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-18 | 2018-10-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-18 | 2018-10-01 | 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 | 2018-09-26 | 2018-10-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-26 | 2018-10-01 | 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 | 2018-09-26 | 2018-10-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-26 | 2018-10-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-09-26 | 2018-10-01 | 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 | 2018-09-26 | 2018-10-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-26 | 2018-10-01 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-09-26 | 2018-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-26 | 2018-10-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-08-02 | 2017-10-02 | 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 | 2017-08-02 | 2017-09-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-02 | 2017-09-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-02 | 2017-09-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-08-02 | 2017-09-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-08-02 | 2017-09-06 | 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 | 2017-08-07 | 2017-09-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-07 | 2017-09-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-07 | 2017-09-06 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-09-10 | Not Fixed | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-10 | Not Fixed | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-10 | Not Fixed | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-10 | Not Fixed | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-10 | Not Fixed | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-07-28 | Not Fixed | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-28 | Not Fixed | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-07-28 | Not Fixed | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-07-28 | Not Fixed | 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 | 2021-07-28 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-28 | Not Fixed | N |
