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Deficiency Records for Sunset Lake Healthcare and Rehabilitation Center

A list of the most recent deficiencies for Sunset Lake Healthcare and Rehabilitation Center. 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 Sunset Lake Healthcare and Rehabilitation Center. 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-12-06 2024-12-30 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-12-06 2024-12-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-06 2024-12-30 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-12-06 2024-12-30 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-12-06 2024-12-30 Y
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2024-12-06 2024-12-30 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-12-06 2024-12-30 Y
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 2023-03-09 2023-04-21 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-03-09 2023-04-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-09 2023-04-21 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-03-09 2023-04-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-09 2023-04-21 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 2023-03-09 2023-04-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-09 2023-04-21 N
Provide enough food/fluids to maintain a resident's health. Health 2023-03-09 2023-04-21 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-03-09 2023-04-21 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-03-13 2023-03-28 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-13 2023-03-28 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-09-15 2022-10-15 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-02-02 2022-03-02 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 2022-02-02 2022-03-02 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2021-07-23 2021-08-16 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-07-23 2021-08-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-23 2021-08-16 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 2021-07-23 2021-08-16 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2021-07-23 2021-08-16 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-07-23 2021-08-16 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-10-10 2019-11-09 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2019-10-10 2019-11-09 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-10-10 2019-11-09 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2019-10-10 2019-11-09 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2019-10-10 2019-11-09 N

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