Deficiency Records for Spring Gate Rehab and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Spring Gate Rehab and Healthcare Center. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-11-23 | 2023-01-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-23 | 2023-01-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-23 | 2023-01-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-02 | 2022-09-02 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-02 | 2022-07-05 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-09-24 | 2021-11-08 | 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 | 2021-09-24 | 2021-11-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-24 | 2021-11-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-24 | 2021-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-24 | 2021-11-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-14 | 2021-11-08 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-10-14 | 2021-11-08 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-10-14 | 2021-11-08 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-10-14 | 2021-11-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-09 | 2021-05-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-09 | 2021-05-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-03 | 2019-10-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-03 | 2019-10-30 | 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 | 2019-10-03 | 2019-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-03 | 2019-10-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-03 | 2019-10-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-03 | 2019-10-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-03 | 2019-10-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-01 | 2018-12-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-01 | 2018-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-01 | 2018-12-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-29 | 2018-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-29 | 2018-12-16 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-10-29 | 2018-12-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-29 | 2018-12-16 | N |
