Inspection Results » The Shannon Gray Rehabilitation & Recovery Center

Health Inspection on May 18, 2018 ^[1]

1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-06-14)

2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-06-14)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-06-14)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-06-09)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-06-15)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-06-14)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-06-14)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-06-14)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-06-14)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-06-09)

3. Widespread: No actual harm with potential for minimal harm

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-06-09)

4. Pattern: No actual harm with potential for minimal harm

   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-06-14)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-06-14)