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Deficiency Records for Shenandoah Senior Living Community
View the most recent health deficiencies and inspection results for Shenandoah Senior Living Community. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Shenandoah Senior Living Community. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2026-01-07 | 2026-01-25 | 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 | 2026-01-07 | 2026-01-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-07 | 2026-01-25 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-07-02 | 2025-09-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-02 | 2025-09-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-02 | 2025-08-26 | 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 | 2025-07-02 | 2025-08-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-02 | 2025-08-26 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-02 | 2025-08-12 | 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 | 2025-07-02 | 2025-08-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-02 | 2025-08-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-07-02 | 2025-08-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-07-02 | 2025-08-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-13 | 2024-10-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-09-13 | 2024-10-22 | 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 | 2024-09-13 | 2024-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-13 | 2024-10-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-13 | 2024-10-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-13 | 2024-10-22 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-09-13 | 2024-10-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-13 | 2024-10-22 | 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 | 2024-09-13 | 2024-10-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-13 | 2024-10-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-13 | 2024-10-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-13 | 2024-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-13 | 2024-10-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-13 | 2024-10-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-13 | 2024-10-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-13 | 2024-10-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-13 | 2024-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-13 | 2024-10-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-13 | 2024-10-21 | 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 | 2024-09-13 | 2024-10-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-13 | 2024-10-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-15 | 2024-06-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-15 | 2024-06-05 | Y |
| 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 | 2024-05-15 | 2024-06-05 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-05-15 | 2024-06-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-15 | 2024-06-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-27 | 2024-05-15 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-03-27 | 2024-05-15 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-03-27 | 2024-05-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-27 | 2024-05-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-16 | 2024-03-27 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-04 | 2023-11-21 | 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 | 2023-10-04 | 2023-11-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-04 | 2023-11-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-04 | 2023-11-21 | Y |
| 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 | 2023-10-04 | 2023-11-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-04 | 2023-11-21 | N |
| Have policies on smoking. | Health | 2023-10-04 | 2023-11-21 | 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 | 2023-10-04 | 2023-11-21 | 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 | 2023-10-04 | 2023-11-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-04 | 2023-11-21 | 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 | 2023-10-04 | 2023-11-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-10-04 | 2023-11-21 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-10-04 | 2023-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-11-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-04 | 2023-11-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-04 | 2023-11-07 | N |