A list of the most recent deficiencies for Silver Springs Health Care 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? |
|---|---|---|---|---|
| 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 | 2023-10-10 | 2023-11-07 | Y |
| 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 | 2023-10-10 | 2023-11-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-10 | 2023-11-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-10 | 2023-11-07 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-10-10 | 2023-11-07 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-10-10 | 2023-11-07 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-10-10 | 2023-11-07 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-10-10 | 2023-11-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-24 | 2023-08-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-24 | 2023-08-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-24 | 2023-08-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-24 | 2023-08-22 | 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 | 2023-07-24 | 2023-08-22 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-07-24 | 2023-08-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-24 | 2023-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-24 | 2023-08-22 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-07-24 | 2023-08-22 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-07-24 | 2023-08-22 | Y |
| 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 | 2023-07-24 | 2023-08-22 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-24 | 2023-08-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-17 | 2023-08-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-17 | 2023-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-17 | 2023-08-22 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-21 | 2023-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-21 | 2023-07-24 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-21 | 2023-06-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-21 | 2023-06-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-21 | 2023-06-13 | 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 | 2023-03-21 | 2023-05-17 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-03-21 | 2023-05-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-21 | 2023-05-17 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-21 | 2023-05-17 | 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 | 2023-03-21 | 2023-05-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-21 | 2023-05-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-21 | 2023-05-17 | 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 | 2023-03-21 | 2023-05-17 | 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 | 2023-03-21 | 2023-05-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-21 | 2023-05-17 | 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 | 2023-03-21 | 2023-05-17 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-03-21 | 2023-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-21 | 2023-05-17 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-21 | 2023-05-17 | 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 | 2023-03-21 | 2023-05-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-21 | 2023-05-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-21 | 2023-05-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-21 | 2023-05-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-21 | 2023-05-17 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-21 | 2023-05-17 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-03-21 | 2023-05-17 | 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 | 2023-03-14 | 2023-04-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-14 | 2023-04-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-14 | 2023-04-19 | 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 | 2023-03-14 | 2023-04-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-14 | 2023-04-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-14 | 2023-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-14 | 2023-04-19 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-03-14 | 2023-04-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-14 | 2023-04-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-14 | 2023-04-19 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-03-14 | 2023-04-19 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-03-14 | 2023-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-14 | 2023-04-19 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-03-14 | 2023-04-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-14 | 2023-04-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-23 | 2022-09-21 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-23 | 2022-09-21 | Y |
| 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 | 2022-08-23 | 2022-09-21 | Y |
| 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 | 2022-08-23 | 2022-09-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-23 | 2022-09-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-23 | 2022-09-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-23 | 2022-09-21 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-08-23 | 2022-09-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-23 | 2022-09-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-23 | 2022-09-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-08 | 2022-03-07 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-02-08 | 2022-03-07 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-08 | 2022-03-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-08 | 2022-03-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-08 | 2022-03-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-08 | 2022-03-07 | Y |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2022-01-06 | 2022-02-04 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-12-01 | 2022-01-05 | 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 | 2021-12-01 | 2022-01-05 | 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 | 2021-12-01 | 2022-01-05 | 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 | 2021-12-01 | 2022-01-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-01 | 2022-01-05 | N |
| Respond appropriately to all alleged violations. | Health | 2021-12-01 | 2022-01-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-12-01 | 2022-01-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-01 | 2022-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-01 | 2022-01-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-01 | 2022-01-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-01 | 2022-01-05 | 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 | 2021-12-01 | 2022-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-01 | 2022-01-05 | N |
| Dispose of garbage and refuse properly. | Health | 2021-12-01 | 2022-01-05 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-12-01 | 2022-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-01 | 2022-01-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-02 | 2022-01-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-02 | 2022-01-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-02 | 2022-01-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-02 | 2022-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-02 | 2022-01-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-02 | 2022-01-05 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-12-02 | 2022-01-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-10-19 | 2021-11-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-19 | 2021-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-09 | 2021-07-05 | 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 | 2020-01-15 | 2020-02-15 | 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 | 2020-01-15 | 2020-02-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-01-15 | 2020-02-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-15 | 2020-02-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-15 | 2020-02-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-15 | 2020-02-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-15 | 2020-02-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-16 | 2020-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-16 | 2020-02-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-16 | 2020-02-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-16 | 2020-02-15 | N |
