Deficiency Records for Skyview Springs Rehab and Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Skyview Springs Rehab and Nursing 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-14 | 2023-09-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-14 | 2023-07-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-03 | 2023-05-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-03 | 2023-05-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-03 | 2023-05-26 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-03 | 2023-05-26 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2022-02-09 | 2022-03-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-02-09 | 2022-03-22 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-02-08 | 2022-03-18 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-02-08 | 2022-03-18 | 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 | 2022-02-08 | 2022-03-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-08 | 2022-03-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-08 | 2022-03-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-08 | 2022-03-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-08 | 2022-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-08 | 2022-03-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-08 | 2022-03-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-08 | 2022-03-18 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-02-08 | 2022-03-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-02-08 | 2022-03-18 | N |
| Post nurse staffing information every day. | Health | 2022-02-08 | 2022-03-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-08 | 2022-03-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-08 | 2022-03-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-08 | 2022-03-18 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-08 | 2022-03-18 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-02-08 | 2022-03-18 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-02-08 | 2022-03-18 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-02-08 | 2022-03-18 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-02-08 | 2022-03-18 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-02-08 | 2022-03-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-02-08 | 2022-03-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-02-08 | 2022-03-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-02-08 | 2022-03-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-29 | 2022-01-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-29 | 2022-01-23 | 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 | 2021-12-29 | 2022-01-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-29 | 2022-01-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-29 | 2022-01-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-29 | 2022-01-23 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-12-29 | 2022-01-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-05 | 2021-05-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-05-05 | 2021-05-21 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-12-12 | 2020-01-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-12 | 2020-01-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-12-12 | 2020-01-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-12 | 2020-01-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-12 | 2020-01-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-12-12 | 2020-01-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-12 | 2020-01-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-12 | 2020-01-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-12 | 2020-01-22 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-12-12 | 2020-01-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-18 | 2020-01-20 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-11-18 | 2020-01-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-18 | 2020-01-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-11-18 | 2020-01-08 | 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 | 2019-11-18 | 2020-01-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-18 | 2020-01-08 | 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 | 2019-11-18 | 2020-01-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-18 | 2020-01-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-18 | 2020-01-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-18 | 2020-01-08 | 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 | 2019-11-18 | 2020-01-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-18 | 2020-01-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-18 | 2020-01-08 | N |
| Post nurse staffing information every day. | Health | 2019-11-18 | 2020-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-18 | 2020-01-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-18 | 2020-01-08 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-11-18 | 2020-01-08 | 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 | 2018-10-12 | 2018-11-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-12 | 2018-11-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-12 | 2018-11-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-12 | 2018-11-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-12 | 2018-11-28 | 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 | 2018-09-27 | 2018-10-31 | 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 | 2018-09-27 | 2018-10-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-27 | 2018-10-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-09-27 | 2018-10-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-09-27 | 2018-10-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-27 | 2018-10-31 | 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 | 2018-09-27 | 2018-10-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-27 | 2018-10-31 | N |
| Provide appropriate foot care. | Health | 2018-09-27 | 2018-10-31 | 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 | 2018-09-27 | 2018-10-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-27 | 2018-10-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-27 | 2018-10-31 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-09-27 | 2018-10-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-27 | 2018-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-27 | 2018-10-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-27 | 2018-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-27 | 2018-10-31 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Develop a communication plan. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Establish methods for sharing information. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-27 | 2017-09-22 | N |
