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Deficiency Records for Sunset Home

A list of the most recent deficiencies for Sunset Home. 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 Home. 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?
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2024-08-12 2024-08-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-12 2024-08-31 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-08-12 2024-08-31 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-05-21 2024-06-21 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-04-03 2024-04-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-04-03 2024-04-27 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-12-04 2023-12-22 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-04 2023-12-22 Y
Ensure that residents are free from significant medication errors. Health 2023-12-04 2023-12-22 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-11-16 2023-12-16 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-11-16 2023-12-16 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 2023-11-16 2023-12-16 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 2023-11-16 2023-12-16 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-16 2023-12-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-16 2023-12-16 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-16 2023-12-16 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 2023-11-16 2023-12-16 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-11-16 2023-12-16 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-11-16 2023-12-16 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 2023-11-16 2023-12-16 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 2023-11-16 2023-12-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-16 2023-12-16 N
Provide and implement an infection prevention and control program. Health 2023-11-16 2023-12-16 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 2023-11-16 2023-12-16 N
Install a two-hour-resistant firewall separation. Fire Safety 2023-11-22 2023-12-16 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-11-22 2023-12-16 N
Install an approved automatic sprinkler system. Fire Safety 2023-11-22 2023-12-16 N
Have proper medical gas storage and administration areas. Fire Safety 2023-11-22 2023-12-16 N
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 2023-07-17 2023-08-04 Y
Ensure that residents are free from significant medication errors. Health 2023-07-17 2023-08-04 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-07-10 2023-08-03 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-07-10 2023-08-03 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-07-10 2023-08-03 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-07-10 2023-08-03 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-07-10 2023-08-03 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-10 2023-08-03 Y
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 2023-07-10 2023-08-03 Y
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2023-07-10 2023-08-03 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-03-27 2023-04-25 Y
Respond appropriately to all alleged violations. Health 2023-03-27 2023-04-25 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-27 2023-04-25 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-02-28 2023-03-25 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-10-28 2022-11-22 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 2022-10-28 2022-11-22 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-10-28 2022-11-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-28 2022-11-22 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 2022-10-28 2022-11-22 N
Ensure that residents are free from significant medication errors. Health 2022-10-28 2022-11-22 N
Establish staff and initial training requirements. Fire Safety 2022-10-26 2022-11-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-26 2022-11-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-26 2022-11-22 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-10-26 2022-11-22 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-05-29 2022-06-16 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-29 2022-06-16 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-04-28 2022-05-24 Y
Respond appropriately to all alleged violations. Health 2022-04-28 2022-05-24 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-04-28 2022-05-24 Y
Conduct testing and exercise requirements. Fire Safety 2021-10-20 2021-11-17 N
Implement emergency and standby power systems. Fire Safety 2021-10-20 2021-11-12 N
Have an enclosure around a vertical opening shaft. Fire Safety 2021-10-20 2021-11-12 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 2021-09-30 2021-11-03 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 2021-09-30 2021-11-03 N
Ensure medication error rates are not 5 percent or greater. Health 2021-09-30 2021-11-03 N

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