SOUTH SHORE HEALTH & REHABILITATION

The information listed below provides an in-depth look into the type and quality of care offered at South Shore Health & Rehabilitation. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

SOUTH SHORE HEALTH & REHABILITATION
353 TYLER ST
GARY, IN 46402
(219) 886-7070

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

60%

Number of Residents and Certified Beds

  • Residents: 78
  • Certified Beds: 129

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Hobart | East Chicago | Highland

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Special Care Low". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by South Shore Health & Rehabilitation. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-169.1%
ADL Index Range: 0-53.6%
Total Percent:12.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-164.5%
ADL Index Range: 6-104.5%
Total Percent:9.1%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
1.3%
ADL Index Range: 11-14
- No Signs of depression
5.5%
Total Percent:6.8%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
16.5%
ADL Index Range: 6-10
- No Signs of depression
41.1%
Total Percent:57.6%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
1.3%
ADL Index Range: 6-10
- No Signs of depression
4.5%
Total Percent:5.8%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
1.6%
Total Percent:1.6%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
4.5%
ADL Index Range: 2-5
- Less restorative nursing
1.9%
Total Percent:6.5%
 

Rating Details For South Shore Health & Rehabilitation

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours18 Minutes1 Hour
Licensed Practical/Vocational Nurse (LPN/LVN) Hours51 Minutes43 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 58 Minutes2 Hours and 21 Minutes
Total Licensed Nurse Hours1 Hour and 9 Minutes1 Hour and 44 Minutes
Total Nurse Hours3 Hours and 7 Minutes4 Hours and 4 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Indiana are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityIndiana Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination63%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season78%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse7%12%
Percent of Long-Stay Residents Who Lose Too Much Weight14%8%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious3%16%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores22%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder62%50%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased21%20%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination31%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season39%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain5%18%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores8%10%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/18/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Quickly Tell the Resident's Doctor the Results of Lab Tests.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Quickly Tell the Resident's Doctor the Results of Lab Tests.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Have a Detailed, Written Plan for Disasters and Emergencies.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Post Nurse Staffing Information.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011
Provide Clean Bed and Bath Linens That Are in Good Condition.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/24/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 12/18/2008
  • Correction Date: 03/02/2009
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 12/18/2008
  • Correction Date: 03/02/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/24/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/24/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
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.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/27/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/10/2010
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/24/2011
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
  • Inspection Date: 04/18/2011
  • Correction Date: 06/02/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for South Shore Health & Rehabilitation, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 03/12/2009
  • Correction Date: 04/10/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 06/25/2010
  • Correction Date: 08/26/2010
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 07/20/2010
  • Correction Date: 08/26/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 08/26/2010
  • Correction Date: 09/07/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 08/26/2010
  • Correction Date: 09/07/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Complaint Filed: 07/20/2010
  • Correction Date: 08/26/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 06/25/2010
  • Correction Date: 08/26/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 12/14/2010
  • Correction Date: 01/06/2011
Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Complaint Filed: 12/14/2010
  • Correction Date: 01/06/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 06/02/2011
  • Correction Date: 06/24/2011

Resident Assessment

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.
  • Complaint Filed: 03/12/2009
  • Correction Date: 04/10/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 07/20/2010
  • Correction Date: 08/26/2010
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 06/02/2011
  • Correction Date: 06/24/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that South Shore Health & Rehabilitation had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/09/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/06/2009
Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/06/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 03/11/2010
  • Correction Date: 04/09/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/09/2011
  • Correction Date: 06/07/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/06/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/06/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/09/2011
  • Correction Date: 06/07/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/11/2010
  • Correction Date: 04/09/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/06/2009
Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 03/11/2010
  • Correction Date: 04/09/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 03/11/2010
  • Correction Date: 04/09/2010
Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 05/09/2011
  • Correction Date: 06/07/2011
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 05/09/2011
  • Correction Date: 06/07/2011

Exits and Egress

Proper Exit Design.
  • Inspection Date: 05/09/2011
  • Correction Date: 06/07/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/11/2010
  • Correction Date: 04/09/2010
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 03/11/2010
  • Correction Date: 04/09/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 05/09/2011
  • Correction Date: 06/07/2011
Properly Maintained Smoke Detectors.
  • Inspection Date: 05/09/2011
  • Correction Date: 06/07/2011

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 03/11/2010
  • Correction Date: 04/09/2010
Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 05/09/2011
  • Correction Date: 06/07/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/09/2011
  • Correction Date: 06/07/2011

Interior Finish

Fire-Resistant Interior Walls.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/06/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 05/09/2011
  • Correction Date: 06/07/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 03/11/2010
  • Correction Date: 04/09/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/06/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 05/09/2011
  • Correction Date: 06/07/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/06/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 05/09/2011
  • Correction Date: 06/07/2011
Source: Medicare Nursing Home Compare; Department of Health of Indiana - Long Term Care Division - Retrieved 2011