Deficiency Records for Salem Center
Updated as of May 01, 2019
This is not the most recent data for Salem Center. For the most recent information, click here.
A list of the most recent deficiencies for Salem 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-22 | 2018-05-01 | 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 | 2018-03-22 | 2018-05-01 | 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 | 2018-03-22 | 2018-05-01 | 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 ne | Health | 2018-03-22 | 2018-05-01 | 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 | 2018-03-22 | 2018-05-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-22 | 2018-05-01 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-03-22 | 2018-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-22 | 2018-05-01 | N |
| Keep all essential equipment working safely. | Health | 2018-03-22 | 2018-05-01 | 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 | 2018-03-21 | 2018-04-26 | 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 | 2018-03-21 | 2018-04-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-21 | 2018-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-21 | 2018-04-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-21 | 2018-04-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-21 | 2018-04-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-03-21 | 2018-04-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-03-21 | 2018-04-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-03-21 | 2018-04-26 | 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 | 2018-01-18 | 2018-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-18 | 2018-02-16 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-01-31 | 2017-03-01 | 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 | 2017-01-31 | 2017-03-01 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2017-01-31 | 2017-03-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-01-31 | 2017-03-01 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-01-31 | 2017-03-01 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2017-01-31 | 2017-03-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-01-31 | 2017-02-22 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-01-31 | 2017-02-22 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-01-31 | 2017-02-22 | N |
| Provide housekeeping and maintenance services. | Health | 2017-01-31 | 2017-02-22 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-01-31 | 2017-02-22 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-01-31 | 2017-02-22 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-31 | 2017-02-22 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-01-31 | 2017-02-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-31 | 2017-02-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-31 | 2017-02-22 | 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 | 2017-01-31 | 2017-02-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-31 | 2017-02-22 | 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 | 2017-01-31 | 2017-02-22 | N |
| Keep all essential equipment working safely. | Health | 2017-01-31 | 2017-02-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-31 | 2017-02-22 | N |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2015-11-04 | 2016-01-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2015-11-04 | 2016-01-20 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2015-11-04 | 2016-01-20 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-11-04 | 2016-01-20 | 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 | 2015-11-04 | 2016-01-20 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-11-04 | 2016-01-20 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-11-04 | 2016-01-20 | N |
| Provide housekeeping and maintenance services. | Health | 2015-11-04 | 2016-01-20 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-11-04 | 2016-01-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-11-04 | 2016-01-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-11-04 | 2016-01-20 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-11-04 | 2016-01-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-04 | 2016-01-20 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-11-04 | 2016-01-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-11-04 | 2016-01-20 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-11-04 | 2016-01-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-11-04 | 2016-01-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-11-04 | 2016-01-20 | N |
| Keep all essential equipment working safely. | Health | 2015-11-04 | 2016-01-20 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-11-04 | 2016-01-20 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-11-04 | 2016-01-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-11-04 | 2016-01-20 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-11-05 | 2015-12-22 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-11-05 | 2015-12-22 | N |
