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Deficiency Records for Serenity Spring Senior Living at Scandia Village
View the most recent health deficiencies and inspection results for Serenity Spring Senior Living at Scandia Village. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Serenity Spring Senior Living at Scandia Village. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-02-10 | 2026-03-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-02-10 | 2026-03-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-02-10 | 2026-03-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-07 | 2025-07-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-05-07 | 2025-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-07 | 2025-06-07 | 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 | 2025-05-07 | 2025-06-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-07 | 2025-06-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-07 | 2025-06-07 | 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 | 2025-05-07 | 2025-06-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-05-07 | 2025-06-07 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-05-07 | 2025-06-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-07 | 2025-06-07 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-05-07 | 2025-06-07 | 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 | 2025-05-07 | 2025-06-07 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-05-07 | 2025-06-07 | N |
| Use approved construction type or materials. | Fire Safety | 2025-05-07 | 2025-06-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-05-07 | 2025-06-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-05-07 | 2025-06-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-05-07 | 2025-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-07 | 2025-06-07 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2025-05-07 | 2025-06-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-17 | 2024-10-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-17 | 2024-10-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-09-17 | 2024-10-17 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-24 | 2024-08-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-24 | 2024-08-15 | 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 | 2024-04-24 | 2024-05-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-04-24 | 2024-05-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-04-24 | 2024-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-24 | 2024-05-24 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-04-24 | 2024-05-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-24 | 2024-05-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-24 | 2024-05-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-24 | 2024-05-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-24 | 2024-05-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-24 | 2024-05-24 | 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 | 2024-04-24 | 2024-05-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-24 | 2024-05-24 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-04-24 | 2024-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-24 | 2024-05-24 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-04-24 | 2024-05-24 | 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 | 2024-04-24 | 2024-05-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-24 | 2024-05-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-04-24 | 2024-05-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-24 | 2024-05-24 | N |
| Have an externally vented heating system. | Fire Safety | 2024-04-24 | 2024-05-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-24 | 2024-05-24 | 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 | 2024-04-24 | 2024-05-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-24 | 2024-05-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-24 | 2024-05-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-04-24 | 2024-05-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-04-24 | 2024-05-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-24 | 2024-05-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-24 | 2024-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-01 | 2023-03-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-01 | 2023-03-01 | 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 | 2023-02-01 | 2023-03-01 | 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 necessary and PRN use is limited. | Health | 2023-02-01 | 2023-03-01 | N |