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Deficiency Records for Shanoan Springs Nursing and Rehabilitation
View the most recent health deficiencies and inspection results for Shanoan Springs Nursing and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Shanoan Springs Nursing and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-05-30 | 2025-07-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-30 | 2025-07-14 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-05-30 | 2025-07-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-30 | 2025-07-14 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-05-30 | 2025-07-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-18 | 2024-07-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-04-18 | 2024-07-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-18 | 2024-07-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-18 | 2024-07-15 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-04-18 | 2024-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-18 | 2024-07-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-18 | 2024-07-15 | 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 | 2024-04-18 | 2024-07-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-04-18 | 2024-07-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-18 | 2024-07-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-18 | 2024-07-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-04-18 | 2024-07-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-18 | 2024-07-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-18 | 2024-07-15 | 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 | 2024-04-18 | 2024-07-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-18 | 2023-10-26 | 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 | 2023-03-06 | 2023-05-25 | 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 | 2023-03-06 | 2023-05-25 | N |
| Post nurse staffing information every day. | Health | 2023-03-06 | 2023-05-25 | 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 | 2023-03-06 | 2023-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-06 | 2023-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-06 | 2023-05-25 | 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 | 2026-03-25 | Not Fixed | Y |