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Deficiency Records for Sage Post Acute
A list of the most recent deficiencies for Sage Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Sage Post Acute. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-16 | 2024-08-16 | Y |
| Use approved construction type or materials. | Fire Safety | 2024-07-15 | 2024-08-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-15 | 2024-08-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-15 | 2024-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-15 | 2024-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-15 | 2024-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-15 | 2024-08-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-17 | 2024-06-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-17 | 2024-06-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-17 | 2024-06-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-05-17 | 2024-06-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-17 | 2024-06-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-17 | 2024-06-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-17 | 2024-06-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-17 | 2024-06-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-17 | 2024-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-17 | 2024-06-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-05-17 | 2024-06-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-19 | 2023-08-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-12 | 2023-07-31 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-07-12 | 2023-07-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-10 | 2023-04-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-10 | 2023-04-24 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-11-01 | 2022-12-01 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-10-05 | 2022-10-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-10-05 | 2022-10-14 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-05-27 | 2021-07-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-27 | 2021-07-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-27 | 2021-07-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-05-27 | 2021-07-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-27 | 2021-07-09 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-05-27 | 2021-07-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-27 | 2021-07-09 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-05-27 | 2021-07-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-27 | 2021-07-09 | 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 | 2021-05-27 | 2021-07-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-27 | 2021-07-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-27 | 2021-07-09 | 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 | 2021-05-27 | 2021-07-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-27 | 2021-07-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-27 | 2021-07-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-05-27 | 2021-07-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-05-28 | 2021-06-16 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-05-28 | 2021-06-16 | N |
| Use approved construction type or materials. | Fire Safety | 2021-05-28 | 2021-06-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-28 | 2021-06-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-05-28 | 2021-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-28 | 2021-06-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-28 | 2021-06-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-28 | 2021-06-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-28 | 2021-06-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-19 | 2020-01-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-25 | 2019-11-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-10-25 | 2019-11-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-25 | 2019-11-25 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-10-25 | 2019-11-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-25 | 2019-11-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-25 | 2019-11-25 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-10-25 | 2019-11-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-25 | 2019-11-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-25 | 2019-11-25 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2019-10-25 | 2019-11-25 | N |
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