Deficiency Records for The Springs Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for The Springs Health and Rehabilitation 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? |
|---|---|---|---|---|
| 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 | 2023-11-21 | 2023-12-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-08 | 2023-11-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-04 | 2023-10-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-16 | 2023-09-15 | Y |
| 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 | 2023-05-17 | 2023-06-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-08 | 2023-06-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-11 | 2022-10-31 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-03-28 | 2022-04-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-21 | 2022-04-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2022-01-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-04 | 2021-10-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-23 | 2021-10-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-23 | 2021-10-01 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-08-23 | 2021-10-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-23 | 2021-10-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-23 | 2021-10-01 | 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 | 2021-08-23 | 2021-10-01 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-08-23 | 2021-10-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-23 | 2021-10-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-23 | 2021-10-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-23 | 2021-10-01 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-08-23 | 2021-10-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-30 | 2021-09-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-30 | 2021-09-23 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| Use approved construction type or materials. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-26 | 2021-09-14 | N |
| 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 | 2021-07-28 | 2021-09-01 | Y |
| 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 | 2021-07-28 | 2021-09-01 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-07-28 | 2021-09-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-28 | 2021-09-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-08 | 2021-07-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-08 | 2021-07-13 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-06-07 | 2021-06-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-07 | 2021-06-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-01 | 2021-06-21 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-05-19 | 2021-05-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-07 | 2021-04-30 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-04-07 | 2021-04-30 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-04-07 | 2021-04-30 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2019-10-16 | 2019-10-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-03 | 2019-10-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-03 | 2019-10-17 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-10-03 | 2019-10-17 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-10-03 | 2019-10-17 | N |
