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SHADY ACRES HEALTH AND REHABILITATION

Category: Nursing Home

1310 WEST GORDON STREET
DOUGLAS, GA 31533
Medicare, Medicaid  
Capacity: 168 beds  
CMS Rating:   

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Shady Acres Health And Rehabilitation Details

Resident Capacity:168

Shady Acres Health And Rehabilitation Costs

Reimbursement:Medicare, Medicaid

CMS Inspection Results for SHADY ACRES HEALTH AND REHABILITATION

The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.

  • 08/28/2008 Health Survey for SHADY ACRES HEALTH AND REHABILITATION
Administration
DeficiencyScopeLevel of Harm
Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm
Environmental
DeficiencyScopeLevel of Harm
Provide needed housekeeping and maintenance. Pattern Minimal harm or potential for actual harm
Keep sound levels comfortable. Pattern Minimal harm or potential for actual harm
Pharmacy Service
DeficiencyScopeLevel of Harm
Make sure that residents are safe from serious medication errors. Isolated Minimal harm or potential for actual harm
Quality Care
DeficiencyScopeLevel of Harm
Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm
Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated Minimal harm or potential for actual harm
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated Minimal harm or potential for actual harm
Resident Rights
DeficiencyScopeLevel of Harm
Provide services to meet the needs and preferences of each resident. Pattern Minimal harm or potential for actual harm

 

  • 09/27/2007 Health Survey for SHADY ACRES HEALTH AND REHABILITATION
Administration
DeficiencyScopeLevel of Harm
Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm
Mistreatment
DeficiencyScopeLevel of Harm
Keep each resident free from physical restraints, unless needed for medical treatment. Isolated Minimal harm or potential for actual harm
Quality Care
DeficiencyScopeLevel of Harm
Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. Isolated Actual harm
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. Isolated Minimal harm or potential for actual harm
Make sure that each resident's nutritional needs were met. Isolated Minimal harm or potential for actual harm
Resident Assessment
DeficiencyScopeLevel of Harm
Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Actual harm
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. Isolated Minimal harm or potential for actual harm
Resident Rights
DeficiencyScopeLevel of Harm
Provide care in a way that keeps or builds each resident's dignity and self respect. Pattern Minimal harm or potential for actual harm

 

  • 09/27/2007 Fire Safety Survey for SHADY ACRES HEALTH AND REHABILITATION
Corridor Walls and Doors
DeficiencyScopeLevel of Harm
corridor and hallway doors that block smoke. Pattern Potential for minimal harm
Electrical
DeficiencyScopeLevel of Harm
properly installed electrical wiring and equipment. Pattern Potential for minimal harm
Exits and Egress
DeficiencyScopeLevel of Harm
exits that are accessible at all times. Isolated Minimal harm or potential for actual harm
Furnishings and Decorations
DeficiencyScopeLevel of Harm
exits that are free from obstructions and can be used at all times. Isolated Minimal harm or potential for actual harm
Illumination and Emergency Power
DeficiencyScopeLevel of Harm
emergency lighting that can last at least 1 1/2 hours. Isolated Minimal harm or potential for actual harm
Miscellaneous
DeficiencyScopeLevel of Harm
fire safety features required by current fire safety codes. Isolated Minimal harm or potential for actual harm
Smoke Compartmentation and Control
DeficiencyScopeLevel of Harm
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. Isolated Minimal harm or potential for actual harm

 

  • 08/31/2006 Health Survey for SHADY ACRES HEALTH AND REHABILITATION
Pharmacy Service
DeficiencyScopeLevel of Harm
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated Minimal harm or potential for actual harm
Quality Care
DeficiencyScopeLevel of Harm
Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. Isolated Minimal harm or potential for actual harm

 

  • 08/31/2006 Fire Safety Survey for SHADY ACRES HEALTH AND REHABILITATION
Automatic Sprinkler Systems
DeficiencyScopeLevel of Harm
an approved automatic sprinkler system connected to the fire alarm system. Isolated Minimal harm or potential for actual harm

 


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