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Deficiency Records for Shadelands Post Acute
View the most recent health deficiencies and inspection results for Shadelands Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Shadelands Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Establish policies and procedures for volunteers. | Fire Safety | 2024-08-01 | 2024-09-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-08-01 | 2024-09-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-01 | 2024-09-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-08-01 | 2024-09-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-01 | 2024-09-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-01 | 2024-09-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-01 | 2024-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-01 | 2024-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-01 | 2024-09-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-08-01 | 2024-09-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-01 | 2024-09-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-01 | 2024-09-01 | 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 | 2024-08-01 | 2024-09-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-01 | 2024-09-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-01 | 2024-09-01 | 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 | 2024-08-01 | 2024-09-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-19 | 2023-10-31 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-19 | 2023-10-31 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-13 | 2022-07-29 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2022-07-13 | 2022-07-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-13 | 2022-07-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-07-13 | 2022-07-29 | N |