Deficiency Records for Rehab at Shannondell
Updated as of June 01, 2022
This is not the most recent data for Rehab at Shannondell. For the most recent information, click here.
A list of the most recent deficiencies for Rehab at Shannondell. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-11 | 2022-02-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-01-11 | 2022-02-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-01-11 | 2022-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-11 | 2022-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-20 | 2022-02-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-28 | 2020-01-13 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-28 | 2019-12-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-28 | 2019-12-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-28 | 2019-12-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-28 | 2019-12-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-10-28 | 2019-12-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-22 | 2019-12-17 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-22 | 2019-12-17 | 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 | 2019-10-22 | 2019-12-17 | 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 | 2019-10-22 | 2019-12-17 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-24 | 2018-11-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-09-24 | 2018-11-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-24 | 2018-11-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-24 | 2018-11-22 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2018-09-24 | 2018-11-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-24 | 2018-11-22 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-09-24 | 2018-11-22 | 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 | 2018-09-24 | 2018-11-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-24 | 2018-11-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-24 | 2018-11-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-09-24 | 2018-11-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-24 | 2018-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-24 | 2018-11-22 | N |
| Ensure that anesthesia apparatus are tested after any adjustment, modification or repair. | Fire Safety | 2018-09-24 | 2018-11-22 | 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 | 2018-09-13 | 2018-10-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-13 | 2018-10-23 | 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 | 2018-09-13 | 2018-10-23 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-09-13 | 2018-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-13 | 2018-10-23 | N |
