A list of the most recent deficiencies for Salem Health and Rehabilitation. 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 and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-28 | 2023-06-06 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-28 | 2023-06-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-28 | 2023-06-06 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-03-28 | 2023-06-06 | 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 | 2023-03-28 | 2023-06-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-28 | 2023-06-06 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-11-08 | 2023-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-08 | 2023-04-14 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-11-08 | 2023-01-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-08 | 2023-01-13 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-11-08 | 2023-01-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-08 | 2023-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-08 | 2023-01-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-08 | 2023-01-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-08 | 2023-01-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-08 | 2023-01-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-08 | 2023-01-13 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-11-08 | 2023-01-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-02 | 2022-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-02 | 2022-12-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-02 | 2022-12-09 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-12-12 | 2020-02-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-12 | 2020-02-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-12 | 2020-02-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-18 | 2020-02-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-18 | 2020-02-05 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-12-18 | 2020-02-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-18 | 2020-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-18 | 2020-02-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-18 | 2020-02-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-18 | 2020-02-05 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-12-18 | 2020-02-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-18 | 2020-02-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-18 | 2020-02-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-18 | 2020-02-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-29 | 2018-11-05 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2018-08-29 | 2018-11-05 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-08-29 | 2018-11-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-08-29 | 2018-11-05 | 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 | 2018-08-29 | 2018-11-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-29 | 2018-11-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-29 | 2018-11-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-29 | 2018-11-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-29 | 2018-11-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-29 | 2018-11-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-17 | 2018-09-25 | 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 | 2018-08-17 | 2018-09-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-17 | 2018-09-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-17 | 2018-09-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-17 | 2018-09-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-17 | 2018-09-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-17 | 2018-09-25 | 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 | 2018-08-17 | 2018-09-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-17 | 2018-09-25 | 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 | 2018-08-17 | 2018-09-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-08-17 | 2018-09-25 | 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 | 2018-08-17 | 2018-09-25 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-08-17 | 2018-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-17 | 2018-09-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-17 | 2018-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-17 | 2018-09-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-08-17 | 2018-09-25 | N |
