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Deficiency Records for Avamere Rehabilitation of Shoreline
View the most recent health deficiencies and inspection results for Avamere Rehabilitation of Shoreline. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avamere Rehabilitation of Shoreline. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-04-30 | 2026-05-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-13 | 2026-04-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-13 | 2026-04-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-02-12 | 2026-03-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-12 | 2026-03-20 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-01-07 | 2026-01-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-01-07 | 2026-01-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-07 | 2026-01-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-09 | 2025-12-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-14 | 2025-12-15 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-11-14 | 2025-12-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-07-18 | 2025-08-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-07-18 | 2025-08-20 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2025-07-18 | 2025-08-20 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-05-17 | 2025-06-16 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-05-17 | 2025-06-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-17 | 2025-06-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-17 | 2025-06-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-05-17 | 2025-06-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-05-17 | 2025-06-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-05-17 | 2025-06-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-05-17 | 2025-06-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-17 | 2025-06-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-05-17 | 2025-06-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-17 | 2025-06-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-05-17 | 2025-06-16 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-05-17 | 2025-06-16 | 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 | 2025-05-17 | 2025-06-10 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-05-17 | 2025-06-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-05-17 | 2025-06-10 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-05-17 | 2025-06-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-05-17 | 2025-06-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-17 | 2025-06-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-17 | 2025-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-17 | 2025-06-10 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-05-17 | 2025-06-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-17 | 2025-06-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-05-17 | 2025-06-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-17 | 2025-06-10 | N |
| Post nurse staffing information every day. | Health | 2025-05-17 | 2025-06-10 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-05-17 | 2025-06-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-05-17 | 2025-06-10 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2025-05-17 | 2025-06-10 | 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 | 2025-05-17 | 2025-06-10 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-05-17 | 2025-06-10 | N |
| Provide appropriate foot care. | Health | 2025-05-17 | 2025-06-10 | 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 | 2025-05-17 | 2025-06-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-17 | 2025-06-10 | 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 | 2025-05-17 | 2025-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-17 | 2025-06-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-05-17 | 2025-06-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-05-17 | 2025-06-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-17 | 2025-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-17 | 2025-06-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-05-17 | 2025-06-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-11 | 2025-05-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-04-11 | 2025-05-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-06 | 2025-04-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-12 | 2024-09-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-12 | 2024-09-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-09 | 2024-07-26 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-07-09 | 2024-07-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-24 | 2024-07-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-24 | 2024-07-22 | Y |
| Provide primary/alternate means for communication. | Fire Safety | 2024-03-19 | 2024-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Develop a communication plan. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-19 | 2024-05-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-19 | 2024-04-26 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-03-19 | 2024-04-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-19 | 2024-04-26 | 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 | 2024-03-19 | 2024-04-26 | 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 | 2024-03-19 | 2024-04-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-19 | 2024-04-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-03-19 | 2024-04-26 | 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 | 2024-03-19 | 2024-04-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-19 | 2024-04-26 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-03-19 | 2024-04-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-19 | 2024-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-19 | 2024-04-26 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-03-19 | 2024-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-19 | 2024-04-26 | N |
| Provide or obtain dental services for each resident. | Health | 2024-03-19 | 2024-04-26 | 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 | 2024-03-19 | 2024-04-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-19 | 2024-04-26 | N |
| Post nurse staffing information every day. | Health | 2024-03-19 | 2024-04-26 | 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 | 2024-03-19 | 2024-04-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-19 | 2024-04-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-19 | 2024-04-26 | N |
| Respond appropriately to all alleged violations. | Health | 2024-02-14 | 2024-03-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-20 | 2023-10-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-28 | 2023-08-28 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-12-22 | 2023-03-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-22 | 2023-03-17 | 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 | 2022-12-22 | 2023-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-22 | 2023-03-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-22 | 2023-03-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-22 | 2023-02-24 | N |
| Develop a communication plan. | Fire Safety | 2022-12-22 | 2023-02-20 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-12-22 | 2023-02-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-22 | 2023-02-20 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-12-22 | 2023-02-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-12-22 | 2023-02-07 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-12-22 | 2023-02-03 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-12-22 | 2023-01-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-22 | 2023-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-22 | 2023-01-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-22 | 2023-01-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-22 | 2023-01-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-12-22 | 2023-01-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-22 | 2023-01-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-12-22 | 2023-01-19 | 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 | 2022-12-22 | 2023-01-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-12-22 | 2023-01-19 | 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 | 2022-12-22 | 2023-01-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-22 | 2023-01-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-22 | 2023-01-19 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-12-22 | 2023-01-19 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-12-22 | 2023-01-19 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-22 | 2023-01-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-22 | 2023-01-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-22 | 2023-01-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-12-22 | 2023-01-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-22 | 2023-01-02 | N |
| Meet other general requirements. | Fire Safety | 2022-12-22 | 2022-12-26 | N |