Deficiency Records for The Springs Nursing and Rehab Center
Updated as of April 01, 2024
A list of the most recent deficiencies for The Springs Nursing and Rehab 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-30 | 2024-02-08 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-01-30 | 2024-02-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-20 | 2023-10-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-20 | 2023-10-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-20 | 2023-10-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-20 | 2023-10-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-20 | 2023-10-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-15 | 2023-03-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-15 | 2023-01-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-15 | 2023-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-15 | 2023-01-06 | 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 | 2022-08-15 | 2022-10-17 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-08-15 | 2022-10-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-15 | 2022-10-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-10 | 2022-09-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-08-10 | 2022-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-10 | 2022-09-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-08-10 | 2022-09-13 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-08-10 | 2022-09-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-10 | 2022-09-13 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-01 | 2021-05-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-01 | 2021-05-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-01 | 2021-05-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-01 | 2021-05-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-23 | 2021-04-26 | N |
| Respond appropriately to all alleged violations. | Health | 2021-03-23 | 2021-04-26 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-03-23 | 2021-04-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-23 | 2021-04-26 | 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 | 2021-03-23 | 2021-04-26 | N |
