Deficiency Records for Avamere Rehabilitation of Shoreline
Updated as of September 01, 2022
This is not the most recent data for Avamere Rehabilitation of Shoreline. For the most recent information, click here.
A list of the most recent deficiencies for Avamere Rehabilitation of Shoreline. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-27 | 2022-07-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-11 | 2022-03-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-11 | 2022-03-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-24 | 2022-02-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-09 | 2021-09-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-09 | 2021-09-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-09 | 2021-09-29 | 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 | 2021-08-09 | 2021-09-15 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-05-28 | 2021-07-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-05-28 | 2021-07-06 | 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 | 2021-05-28 | 2021-07-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-16 | 2020-11-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-04-30 | 2020-06-04 | Y |
| 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 | 2019-10-31 | 2019-11-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-31 | 2019-11-28 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-11-08 | 2019-11-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-08 | 2019-11-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-08 | 2019-11-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-08 | 2019-11-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-08 | 2019-11-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-11-08 | 2019-11-25 | N |
| Provide or obtain dental services for each resident. | Health | 2019-11-08 | 2019-11-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-08 | 2019-11-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-11-08 | 2019-11-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-31 | 2019-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-31 | 2019-11-14 | N |
| Meet other general requirements. | Fire Safety | 2018-10-03 | 2018-12-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-03 | 2018-12-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-03 | 2018-10-26 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-10-03 | 2018-10-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-03 | 2018-10-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-03 | 2018-10-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-03 | 2018-10-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-03 | 2018-10-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-03 | 2018-10-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-03 | 2018-10-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-03 | 2018-10-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-03 | 2018-10-18 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-10-03 | 2018-10-05 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-10-03 | 2018-10-03 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-10-03 | 2018-10-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-10-03 | 2018-10-03 | 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 | 2018-10-03 | 2018-10-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-10-03 | 2018-10-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-27 | 2018-09-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-27 | 2018-09-28 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-07-18 | 2017-08-15 | 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 | 2017-07-18 | 2017-08-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-07-18 | 2017-08-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-07-12 | 2017-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-12 | 2017-08-01 | N |
