Deficiency Records for Serenity Spring Senior Living at Scandia Village
Updated as of January 01, 2023
This is not the most recent data for Serenity Spring Senior Living at Scandia Village. For the most recent information, click here.
A list of the most recent deficiencies for Serenity Spring Senior Living at Scandia Village. 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 | 2022-01-06 | 2022-02-05 | 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 | 2022-01-06 | 2022-02-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-07 | 2022-02-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-01-07 | 2022-02-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-01-07 | 2022-02-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-07 | 2022-02-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-01-07 | 2022-01-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-13 | 2020-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-13 | 2020-02-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-01-13 | 2020-02-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-13 | 2020-02-28 | Y |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2020-01-29 | 2020-02-28 | 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 | 2020-01-29 | 2020-02-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-29 | 2020-02-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-29 | 2020-01-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-13 | 2020-01-17 | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-03-20 | 2019-05-31 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-03-20 | 2019-05-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-20 | 2019-04-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-20 | 2019-04-19 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2019-03-20 | 2019-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-20 | 2019-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-20 | 2019-04-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-23 | Not Fixed | 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 | 2022-11-23 | Not Fixed | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-11-23 | Not Fixed | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-11-13 | Not Fixed | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-13 | Not Fixed | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-13 | Not Fixed | Y |
