A list of the most recent deficiencies for Viviant Healthcare of Shelbyville. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-09 | 2023-11-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2023-11-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-09 | 2023-11-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-09 | 2023-11-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-09 | 2023-11-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-09 | 2023-11-14 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-09 | 2023-11-14 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-12-24 | 2023-06-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-29 | 2022-07-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-29 | 2022-07-16 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-06-29 | 2022-07-16 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-05-24 | 2022-06-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-24 | 2022-06-24 | N |
| 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 | 2022-05-24 | 2022-06-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-24 | 2022-06-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-24 | 2022-06-24 | N |
| Respond appropriately to all alleged violations. | Health | 2022-05-24 | 2022-06-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-24 | 2022-06-24 | 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 | 2022-05-24 | 2022-06-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-24 | 2022-06-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-24 | 2022-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-24 | 2022-06-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-24 | 2022-06-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-24 | 2022-06-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-24 | 2022-06-24 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-05-24 | 2022-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-24 | 2022-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-24 | 2022-06-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-24 | 2022-06-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-24 | 2022-06-24 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-24 | 2022-06-24 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-05-24 | 2022-06-24 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-22 | 2022-06-24 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-05-22 | 2022-06-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-29 | 2022-04-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-29 | 2022-04-15 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-03-29 | 2022-04-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-19 | 2022-02-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-19 | 2022-02-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-20 | 2021-06-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-20 | 2021-06-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-20 | 2021-06-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-20 | 2021-06-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-20 | 2021-06-09 | Y |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2021-05-20 | 2021-06-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-20 | 2021-06-09 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-05-13 | 2019-06-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-13 | 2019-06-30 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-05-13 | 2019-06-30 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-05-13 | 2019-06-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-05-13 | 2019-06-30 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-05-13 | 2019-06-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-05-13 | 2019-06-30 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-05-13 | 2019-06-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-05-13 | 2019-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-13 | 2019-06-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-13 | 2019-06-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-13 | 2019-06-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-15 | 2019-06-27 | N |
| Respond appropriately to all alleged violations. | Health | 2019-05-15 | 2019-06-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-05-15 | 2019-06-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-15 | 2019-06-27 | 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 | 2018-08-22 | 2018-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-22 | 2018-09-27 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-08-20 | 2018-09-27 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2018-08-20 | 2018-09-27 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-08-20 | 2018-09-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-20 | 2018-09-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-20 | 2018-09-21 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-08-20 | 2018-09-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-20 | 2018-09-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-08-20 | 2018-09-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-08-20 | 2018-09-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-20 | 2018-08-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-20 | 2018-08-20 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-11-09 | Not Fixed | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-11-09 | Not Fixed | Y |
| Have a Compliance and Ethics Program. | Health | 2023-11-09 | Not Fixed | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-11-09 | Not Fixed | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-08-11 | Not Fixed | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-08-11 | Not Fixed | Y |
