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Deficiency Records for Sunny Ridge
A list of the most recent deficiencies for Sunny Ridge. 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 Sunny Ridge. 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? |
|---|---|---|---|---|
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-02-23 | 2024-04-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-23 | 2024-04-02 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-02-23 | 2024-04-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-23 | 2024-04-02 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-23 | 2024-04-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-23 | 2024-04-02 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-02-23 | 2024-04-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-23 | 2024-04-02 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-02-23 | 2024-04-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-23 | 2024-04-02 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-15 | 2023-12-18 | 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 | 2023-11-15 | 2023-12-18 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-11-15 | 2023-12-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-15 | 2023-12-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-15 | 2023-12-18 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-11-15 | 2023-12-18 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-02-10 | 2023-03-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-10 | 2023-03-24 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-10 | 2023-03-24 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-02-10 | 2023-03-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-10 | 2023-03-24 | Y |
| Provide appropriate foot care. | Health | 2023-02-10 | 2023-03-24 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-02-10 | 2023-03-24 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2019-05-24 | 2019-06-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-05-24 | 2019-06-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-24 | 2019-06-21 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-05-24 | 2019-06-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-05-24 | 2019-06-21 | N |
| Post nurse staffing information every day. | Health | 2019-05-24 | 2019-06-21 | 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 | 2019-05-24 | 2019-06-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-05-24 | 2019-06-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-11-08 | 2018-12-18 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-11-08 | 2018-12-17 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-11-08 | 2018-12-17 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-11-08 | 2018-12-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-11-08 | 2018-12-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-08 | 2018-12-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-11-08 | 2018-11-21 | N |
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