A list of the most recent deficiencies for Shore Health 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-03-17 | 2021-05-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-17 | 2021-05-05 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-03-17 | 2021-05-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-03-17 | 2021-05-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-17 | 2021-05-05 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-03-12 | 2021-04-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-12 | 2021-04-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-12 | 2021-04-09 | 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 | 2021-03-12 | 2021-04-09 | Y |
| Provide or obtain dental services for each resident. | Health | 2021-03-12 | 2021-04-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-12 | 2021-04-09 | Y |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-10-18 | 2019-11-19 | 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 | 2019-10-18 | 2019-11-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-18 | 2019-11-19 | 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 | 2019-10-18 | 2019-11-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-18 | 2019-11-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-18 | 2019-11-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-18 | 2019-11-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-18 | 2019-11-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-18 | 2019-11-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-18 | 2019-11-19 | 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 | 2019-10-18 | 2019-11-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-18 | 2019-11-19 | 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 | 2019-10-18 | 2019-11-19 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-10-18 | 2019-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-18 | 2019-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-18 | 2019-11-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-10-18 | 2019-11-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-01-29 | 2019-02-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-29 | 2019-02-13 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2019-01-29 | 2019-02-13 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-01-29 | 2019-02-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-01-29 | 2019-02-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-01-29 | 2019-02-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-29 | 2019-02-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-01-29 | 2019-02-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-26 | 2018-06-10 | 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 | 2018-04-26 | 2018-06-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-26 | 2018-06-10 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2018-04-26 | 2018-06-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-04-26 | 2018-06-10 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-04-26 | 2018-06-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-04-26 | 2018-06-10 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-04-26 | 2018-06-10 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-04-26 | 2018-06-10 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-04-26 | 2018-06-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-04-26 | 2018-06-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-04-26 | 2018-06-10 | N |
| Establish methods for sharing information. | Fire Safety | 2018-04-26 | 2018-06-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-04-26 | 2018-06-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-04-26 | 2018-06-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-04-26 | 2018-06-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-26 | 2018-06-10 | N |
