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Deficiency Records for The Shores Post-Acute

View the most recent health deficiencies and inspection results for The Shores Post-Acute. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for The Shores Post-Acute. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide and implement an infection prevention and control program. Health 2026-03-05 2026-03-09 Y
Honor the resident's right to manage his or her financial affairs. Health 2026-03-04 2026-03-05 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2025-11-17 2025-12-11 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-11-17 2025-12-11 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-06-23 2025-07-11 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2025-01-31 2025-02-28 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-12-05 2025-01-07 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 2024-12-05 2025-01-07 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-12-05 2025-01-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-05 2025-01-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-12-05 2025-01-07 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 2024-12-05 2025-01-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-12-05 2025-01-07 N
Assess the resident when there is a significant change in condition Health 2024-12-05 2025-01-07 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-12-05 2025-01-07 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-12-05 2025-01-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-12-05 2025-01-07 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-12-05 2025-01-07 N
Provide and implement an infection prevention and control program. Health 2024-12-05 2025-01-07 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2024-12-05 2025-01-07 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-12-05 2024-12-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-12-05 2024-12-17 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-12-05 2024-12-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-12-05 2024-12-17 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-12-05 2024-12-17 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-12-05 2024-12-17 N
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Fire Safety 2024-12-05 2024-12-17 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-12-05 2024-12-17 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-12-05 2024-12-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-12-05 2024-12-16 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2024-12-05 2024-12-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-20 2024-06-03 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-03-21 2024-04-04 Y
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-11 2024-02-27 N
Conduct testing and exercise requirements. Fire Safety 2024-01-11 2024-02-27 N
Implement emergency and standby power systems. Fire Safety 2024-01-11 2024-02-27 N
Use approved construction type or materials. Fire Safety 2024-01-11 2024-02-27 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-01-11 2024-02-27 N
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 2024-01-11 2024-02-27 N
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. Fire Safety 2024-01-11 2024-02-27 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-01-11 2024-02-27 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2024-01-11 2024-02-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-11 2024-02-27 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-01-11 2024-02-27 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-01-11 2024-02-27 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2024-01-11 2024-02-27 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2024-01-11 2024-02-27 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-11 2024-02-27 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-01-11 2024-02-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-01-11 2024-02-27 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-01-11 2024-02-27 N
Have proper medical gas storage and administration areas. Fire Safety 2024-01-11 2024-02-27 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-11 2024-02-12 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2024-01-11 2024-02-12 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2024-01-11 2024-02-12 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2024-01-11 2024-02-12 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-11 2024-02-12 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 2024-01-11 2024-02-12 N
Ensure that residents are free from significant medication errors. Health 2024-01-11 2024-02-12 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-01-11 2024-02-12 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-01-11 2024-02-12 N
Provide and implement an infection prevention and control program. Health 2024-01-11 2024-02-12 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2024-01-11 2024-02-12 N
Ensure each resident receives an accurate assessment. Health 2024-01-11 2024-02-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-11 2024-02-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-30 2023-09-14 Y
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 2023-08-11 2023-08-31 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 2022-02-22 2022-06-13 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2022-02-22 2022-06-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-22 2022-06-13 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-02-22 2022-06-13 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 2022-02-22 2022-05-05 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-02-22 2022-05-05 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2022-02-22 2022-05-05 N
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 2022-02-22 2022-05-05 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2022-02-22 2022-05-05 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2022-02-22 2022-05-05 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2022-02-22 2022-05-05 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-02-22 2022-05-05 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 2022-02-22 2022-05-05 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-02-22 2022-05-05 N
Provide and implement an infection prevention and control program. Health 2022-02-22 2022-05-05 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2022-02-22 2022-05-05 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-02-22 2022-05-05 N
Provide enough food/fluids to maintain a resident's health. Health 2022-02-22 2022-05-05 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-02-22 2022-05-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-02-22 2022-05-05 N
Keep residents' personal and medical records private and confidential. Health 2022-02-22 2022-05-05 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-02-22 2022-05-05 N
Address subsistence needs for staff and patients. Fire Safety 2022-02-22 2022-05-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-02-22 2022-03-07 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-02-22 2022-03-07 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-02-22 2022-03-07 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-02-22 2022-03-07 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-02-22 2022-03-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-02-22 2022-03-07 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-02-22 2022-03-07 N
Implement emergency and standby power systems. Fire Safety 2022-02-22 2022-03-07 N
List the names and contact information of those in the facility. Fire Safety 2022-02-22 2022-03-07 N

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