A list of the most recent deficiencies for Transitions Healthcare Shook Home. 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? |
|---|---|---|---|---|
| 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 | 2023-06-22 | 2023-08-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-22 | 2023-08-20 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-06-22 | 2023-08-20 | 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 | 2023-06-22 | 2023-08-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-22 | 2023-08-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-22 | 2023-08-20 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-06-22 | 2023-08-20 | 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 | 2023-06-22 | 2023-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-22 | 2023-08-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-07 | 2022-09-04 | 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 | 2022-07-07 | 2022-09-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-07 | 2022-09-04 | N |
| Meet other general requirements. | Fire Safety | 2022-07-19 | 2022-09-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-15 | 2022-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-15 | 2022-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-15 | 2022-02-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-29 | 2021-10-15 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-06-15 | 2021-08-14 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-06-15 | 2021-08-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-15 | 2021-08-14 | 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 | 2021-06-15 | 2021-08-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-15 | 2021-08-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-15 | 2021-08-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-15 | 2021-08-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-03 | 2021-08-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-03 | 2021-08-02 | 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 | 2021-06-03 | 2021-08-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-03 | 2021-08-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-03 | 2021-08-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-03 | 2021-08-02 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-06-03 | 2021-08-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-03 | 2021-08-02 | Y |
