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Deficiency Records for Sullivan Rehab and Hlth Care Ctr

A list of the most recent deficiencies for Sullivan Rehab and Hlth Care Ctr. 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 Sullivan Rehab and Hlth Care Ctr. 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?
Provide or get specialized rehabilitative services as required for a resident. Health 2024-03-19 2024-04-05 Y
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2023-08-04 2023-08-23 N
Provide and implement an infection prevention and control program. Health 2023-08-04 2023-08-23 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-04 2023-08-22 N
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 2023-08-04 2023-08-22 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-04 2023-08-21 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-08-04 2023-08-18 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-04 2023-08-18 N
Establish roles under a Waiver declared by secretary. Fire Safety 2023-08-01 2023-08-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-01 2023-08-16 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-07-14 2023-08-03 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-07-14 2023-08-03 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-04-06 2023-04-23 Y
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Health 2023-04-06 2023-04-23 Y
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-10-05 2022-10-25 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-09-02 2022-09-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-02 2022-09-19 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-09-02 2022-09-19 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-01-04 2022-01-19 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-11-18 2021-12-01 Y
Establish policies and procedures for volunteers. Fire Safety 2021-06-25 2021-07-12 N
List the names and contact information of those in the facility. Fire Safety 2021-06-25 2021-07-12 N
Provide primary/alternate means for communication. Fire Safety 2021-06-25 2021-07-12 N
Implement emergency and standby power systems. Fire Safety 2021-06-25 2021-07-12 N
Establish staff and initial training requirements. Fire Safety 2021-06-25 2021-07-10 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2021-06-17 2021-07-05 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2021-06-17 2021-07-05 N
Address patient/client population and determine types of services needed. Fire Safety 2021-06-25 2021-06-28 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2021-06-25 2021-06-28 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 2021-06-25 2021-06-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-06-25 2021-06-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-06-17 2021-06-26 N
Provide or obtain dental services for each resident. Health 2021-06-17 2021-06-26 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2021-06-17 2021-06-25 N
Assist a resident in gaining access to vision and hearing services. Health 2021-06-17 2021-06-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-06-17 2021-06-25 N
Provide enough food/fluids to maintain a resident's health. Health 2021-06-17 2021-06-25 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2021-06-17 2021-06-25 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 2021-06-17 2021-06-25 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2021-06-17 2021-06-25 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-06-17 2021-06-25 N
Provide and implement an infection prevention and control program. Health 2021-06-17 2021-06-25 N

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