Deficiency Records for Silver Springs Health Care Center
Updated as of November 01, 2022
This is not the most recent data for Silver Springs Health Care Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-12-15 | 2021-01-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-12-15 | 2021-01-08 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2020-12-15 | 2021-01-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-12-15 | 2021-01-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-12-15 | 2021-01-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-15 | 2021-01-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-08-18 | 2020-10-01 | 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 | 2020-08-18 | 2020-10-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-08-18 | 2020-10-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-18 | 2020-10-01 | Y |
| Report COVID19 data to residents and families. | Health | 2020-08-18 | 2020-10-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-04-29 | 2020-05-28 | 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 | 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 | 2020-01-15 | 2020-02-15 | Y |
| 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 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-15 | 2020-02-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-15 | 2020-02-15 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-15 | 2020-02-15 | Y |
| 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 | Y |
| 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 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-19 | 2019-04-18 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-03-19 | 2019-04-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-19 | 2019-04-18 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-03-19 | 2019-04-18 | 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 | 2019-03-19 | 2019-04-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-19 | 2019-04-18 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-03-19 | 2019-04-18 | 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 | 2019-03-19 | 2019-04-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-19 | 2019-04-18 | 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 | 2019-03-19 | 2019-04-18 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-03-19 | 2019-04-18 | 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 | 2019-03-19 | 2019-04-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-19 | 2019-04-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-19 | 2019-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-19 | 2019-04-18 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2019-03-19 | 2019-04-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-21 | 2019-04-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-21 | 2019-04-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-21 | 2019-04-12 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-03-21 | 2019-04-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-21 | 2019-04-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-21 | 2019-04-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-21 | 2019-03-22 | N |
