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Deficiency Records for Envive of Sullivan
A list of the most recent deficiencies for Envive of Sullivan. 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 Envive of Sullivan. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-09 | 2024-10-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-09 | 2024-05-12 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-05-09 | 2024-05-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-09 | 2024-05-12 | N |
| Post nurse staffing information every day. | Health | 2024-04-19 | 2024-05-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-19 | 2024-05-09 | 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 | 2024-04-19 | 2024-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-19 | 2024-05-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-19 | 2024-05-09 | 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 | 2023-11-30 | 2023-12-21 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-10-25 | 2023-11-23 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-10-25 | 2023-11-23 | Y |
| 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 | 2023-10-12 | 2023-11-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-28 | 2023-03-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-28 | 2023-03-28 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-28 | 2023-03-28 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-02-28 | 2023-03-28 | N |
| Provide activities to meet all resident's needs. | Health | 2023-02-28 | 2023-03-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-28 | 2023-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-28 | 2023-03-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-28 | 2023-03-28 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-16 | 2023-03-22 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-03-16 | 2023-03-22 | N |
| Develop a communication plan. | Fire Safety | 2023-03-16 | 2023-03-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-03-16 | 2023-03-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-16 | 2023-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-16 | 2023-03-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-03-16 | 2023-03-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-07 | 2022-11-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-06 | 2022-07-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-08 | 2021-12-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-08 | 2021-11-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-08 | 2021-11-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-08 | 2021-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-08 | 2021-11-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-20 | 2021-11-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-20 | 2021-11-12 | N |
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