A list of the most recent deficiencies for The Shoal. 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? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-07-07 | 2023-08-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-29 | 2023-07-21 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-08 | 2022-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-08 | 2022-12-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-08 | 2022-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-11 | 2022-03-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-17 | 2021-10-15 | 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 | 2021-09-17 | 2021-10-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-16 | 2021-10-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-16 | 2021-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-16 | 2021-10-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-07 | 2020-02-14 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-02-07 | 2020-02-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-07 | 2020-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-07 | 2020-02-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-04 | 2020-02-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-04 | 2020-02-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-04 | 2020-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-04 | 2020-02-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-07 | 2020-02-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-02-07 | 2020-02-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-07 | 2020-02-10 | 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 | 2020-02-07 | 2020-02-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-07 | 2020-02-10 | N |
