Deficiency Records for Shoreline Health and Rehabilitation
Updated as of July 01, 2020
This is not the most recent data for Shoreline Health and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Shoreline Health and Rehabilitation. 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 | 2020-02-13 | 2020-03-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-05 | 2020-01-22 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-12-05 | 2020-01-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-05 | 2020-01-22 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-12-05 | 2020-01-22 | 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 | 2019-12-05 | 2020-01-22 | 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 | 2019-12-05 | 2020-01-22 | 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 | 2019-12-05 | 2020-01-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-05 | 2020-01-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-05 | 2020-01-22 | N |
| Respond appropriately to all alleged violations. | Health | 2019-12-05 | 2020-01-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-05 | 2020-01-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-05 | 2020-01-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-12-05 | 2020-01-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-05 | 2020-01-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-05 | 2020-01-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-05 | 2020-01-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-05 | 2020-01-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-05 | 2020-01-22 | 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 | 2019-12-05 | 2020-01-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-05 | 2020-01-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-05 | 2020-01-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-12-05 | 2020-01-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-05 | 2020-01-22 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-12-05 | 2020-01-22 | N |
| 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 | 2019-12-05 | 2020-01-22 | N |
| Post nurse staffing information every day. | Health | 2019-12-05 | 2020-01-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-05 | 2020-01-22 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-12-05 | 2020-01-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-05 | 2020-01-22 | 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 | 2019-12-05 | 2020-01-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-05 | 2020-01-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-12-05 | 2020-01-22 | 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 | 2019-12-05 | 2020-01-22 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-12-05 | 2020-01-22 | 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 | 2019-12-05 | 2020-01-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-05 | 2020-01-22 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-12-05 | 2020-01-22 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-12-05 | 2020-01-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-05 | 2020-01-22 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-12-05 | 2020-01-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-05 | 2020-01-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2020-01-22 | 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 | 2019-12-05 | 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 | 2019-11-19 | 2019-12-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-19 | 2019-12-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-19 | 2019-12-03 | N |
| Be properly staffed | Fire Safety | 2019-11-19 | 2019-12-03 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-10-02 | 2019-10-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-10-02 | 2019-10-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-06 | 2019-07-01 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-06-06 | 2019-07-01 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-06-06 | 2019-07-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-06 | 2019-07-01 | Y |
| 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 | 2018-09-26 | 2018-10-22 | 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 | 2018-09-26 | 2018-10-22 | 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 | 2018-09-26 | 2018-10-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-09-26 | 2018-10-22 | 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 | 2018-09-26 | 2018-10-22 | 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 | 2018-09-26 | 2018-10-22 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-09-26 | 2018-10-22 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-09-26 | 2018-10-22 | 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 | 2018-09-26 | 2018-10-22 | 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 | 2018-09-26 | 2018-10-22 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-09-26 | 2018-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-26 | 2018-10-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-09-26 | 2018-10-22 | 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 | 2018-09-26 | 2018-10-22 | Y |
| 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 | 2018-10-02 | 2018-10-20 | N |
| Be properly staffed | Fire Safety | 2018-10-02 | 2018-10-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-02 | 2018-10-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-02 | 2018-10-20 | N |
| Respond appropriately to all alleged violations. | Health | 2018-03-05 | 2018-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-05 | 2018-03-20 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-10-16 | 2017-12-12 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-10-16 | 2017-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-16 | 2017-12-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-10-16 | 2017-12-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-10-16 | 2017-12-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-10-16 | 2017-12-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-10-16 | 2017-12-12 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-10-16 | 2017-12-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-16 | 2017-12-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-16 | 2017-12-12 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-10-16 | 2017-12-12 | N |
| Allow residents to have visitors. | Health | 2017-09-01 | 2017-11-10 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-09-01 | 2017-11-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-09-01 | 2017-11-10 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-09-01 | 2017-11-10 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-10-12 | 2017-11-10 | N |
| Provide housekeeping and maintenance services. | Health | 2017-10-12 | 2017-11-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-10-12 | 2017-11-10 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-10-12 | 2017-11-10 | 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 | 2017-10-12 | 2017-11-10 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-12 | 2017-11-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-12 | 2017-11-10 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-10-12 | 2017-11-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-12 | 2017-11-10 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-10-12 | 2017-11-10 | N |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compensation. | Health | 2017-10-12 | 2017-11-10 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-10-12 | 2017-11-10 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-10-12 | 2017-11-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-12 | 2017-11-10 | Y |
| 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 | 2017-10-12 | 2017-11-10 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-10-12 | 2017-11-10 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-12 | 2017-11-10 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-12 | 2017-11-10 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-12 | 2017-11-10 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-10-12 | 2017-11-10 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-12 | 2017-11-10 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-12 | 2017-11-10 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-12 | 2017-11-10 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-12 | 2017-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-12 | 2017-11-10 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-10-12 | 2017-11-10 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-12 | 2017-11-10 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-12 | 2017-11-10 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-18 | 2017-07-28 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-18 | 2017-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-18 | 2017-05-31 | Y |
