A list of the most recent deficiencies for Seneca District Hospital D/p Snf. 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? |
|---|---|---|---|---|
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-12-14 | 2023-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-14 | 2023-12-27 | N |
| Use approved construction type or materials. | Fire Safety | 2023-12-20 | 2023-12-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-20 | 2023-12-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-20 | 2023-12-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-20 | 2023-12-20 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-10-21 | 2022-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-21 | 2022-11-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-27 | 2022-11-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-20 | 2021-04-28 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-06-03 | 2019-06-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-03 | 2019-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-03 | 2019-06-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-03 | 2019-06-17 | 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 | 2019-04-25 | 2019-06-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-25 | 2019-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-25 | 2019-06-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-04-25 | 2019-06-04 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-04-25 | 2019-06-04 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-04-25 | 2019-05-24 | N |
