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Deficiency Records for The Rehabilitation Center at Sandalwood
A list of the most recent deficiencies for The Rehabilitation Center at Sandalwood. 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 The Rehabilitation Center at Sandalwood. 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 smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-14 | 2024-08-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-14 | 2024-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-14 | 2024-06-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-04-26 | 2024-05-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-26 | 2024-05-24 | 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 | 2024-04-26 | 2024-05-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-26 | 2024-05-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-26 | 2024-05-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-26 | 2024-05-24 | 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 | 2024-04-26 | 2024-05-24 | N |
| Provide or obtain dental services for each resident. | Health | 2024-04-26 | 2024-05-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-26 | 2024-05-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-31 | 2024-03-07 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-03 | 2023-03-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-03 | 2023-03-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-11 | 2023-02-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-11 | 2023-02-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-11 | 2023-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-11 | 2023-02-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-11 | 2023-02-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-11 | 2023-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-11 | 2023-02-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-01-11 | 2023-02-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-11 | 2023-02-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-08 | 2021-11-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-10-08 | 2021-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-21 | 2021-11-04 | 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 | 2021-09-21 | 2021-10-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-21 | 2021-10-28 | 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 | 2021-09-21 | 2021-10-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-21 | 2021-10-20 | N |
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