Deficiency Records for Skyview Springs Rehab and Nursing Center
Updated as of January 01, 2019
This is not the most recent data for Skyview Springs Rehab and Nursing Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 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, 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 |
| 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 |
| 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 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-27 | 2018-10-31 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-27 | 2018-10-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-16 | 2017-11-15 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-08-16 | 2017-11-15 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-08-16 | 2017-11-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-16 | 2017-11-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-16 | 2017-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-31 | 2017-10-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-31 | 2017-10-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-31 | 2017-10-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-08-31 | 2017-10-19 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-08-31 | 2017-10-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-31 | 2017-10-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-08-31 | 2017-10-19 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-08-16 | 2017-09-25 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-16 | 2017-09-25 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-08-16 | 2017-09-25 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-16 | 2017-09-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-16 | 2017-09-25 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-16 | 2017-09-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-16 | 2017-09-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-16 | 2017-09-25 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-08-16 | 2017-09-25 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2017-08-16 | 2017-09-25 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-08-16 | 2017-09-25 | 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 |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-08-15 | 2016-10-07 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-08-15 | 2016-10-07 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-08-15 | 2016-10-07 | N |
| A written emergency evacuation plan. | Fire Safety | 2016-08-15 | 2016-10-07 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-08-15 | 2016-10-07 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-08-15 | 2016-10-07 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-08-15 | 2016-10-07 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-08-15 | 2016-10-07 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-15 | 2016-10-07 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-08-04 | 2016-09-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-08-04 | 2016-09-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-04 | 2016-09-16 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-08-04 | 2016-09-16 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-08-04 | 2016-09-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-08-04 | 2016-09-16 | N |
| Dispose of garbage and refuse properly. | Health | 2016-08-04 | 2016-09-16 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-08-04 | 2016-09-16 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2016-08-04 | 2016-09-16 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-04 | 2016-09-16 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-04 | 2016-09-16 | N |
