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Deficiency Records for Sandpiper Healthcare and Rehabilitation Center

A list of the most recent deficiencies for Sandpiper 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 Sandpiper 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?
Establish an Emergency Preparedness Program (EP). Fire Safety 2024-07-31 2024-08-08 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-07-31 2024-08-08 Y
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2024-07-31 2024-08-08 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-04-16 2024-05-01 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-16 2024-05-01 Y
Provide and implement an infection prevention and control program. Health 2023-11-20 2023-11-27 Y
Use approved construction type or materials. Fire Safety 2023-02-08 2023-03-10 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-02-08 2023-03-10 N
Meet other general requirements that are deficient. Fire Safety 2023-02-08 2023-03-10 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 2023-02-08 2023-03-10 N
Provide properly protected cooking facilities. Fire Safety 2023-02-08 2023-03-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-02-08 2023-03-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-02-08 2023-03-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-02-08 2023-03-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-02-08 2023-03-10 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-02-08 2023-03-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-02-08 2023-03-10 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-02-08 2023-03-10 N
Ensure that smoke control systems are tested and documented in accordance with established engineering principles. Fire Safety 2023-02-08 2023-03-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-02-08 2023-03-10 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-02-08 2023-03-10 N
Have proper medical gas storage and administration areas. Fire Safety 2023-02-08 2023-03-10 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2023-01-31 2023-01-31 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-01-05 2023-01-16 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2023-01-05 2023-01-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-01-05 2023-01-16 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 2023-01-05 2023-01-16 Y
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 2023-01-05 2023-01-16 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-01-05 2023-01-16 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-01-05 2023-01-16 Y
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 2023-01-05 2023-01-16 Y
Conduct testing and exercise requirements. Fire Safety 2021-03-11 2021-04-15 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2021-03-11 2021-04-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-03-11 2021-04-15 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2021-03-11 2021-04-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-03-11 2021-04-15 N
Have properly sized and located compartments to protect residents from smoke. Fire Safety 2021-03-11 2021-04-15 N
Provide a written emergency evacuation plan. Fire Safety 2021-03-11 2021-04-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-03-11 2021-04-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-03-11 2021-04-15 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-03-11 2021-04-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-03-11 2021-04-15 N
Have proper medical gas storage and administration areas. Fire Safety 2021-03-11 2021-04-15 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2021-02-04 2021-02-26 N
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 2021-02-04 2021-02-26 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-02-04 2021-02-26 N
Assist a resident in gaining access to vision and hearing services. Health 2021-02-04 2021-02-26 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 2021-02-04 2021-02-26 N
Provide enough food/fluids to maintain a resident's health. Health 2021-02-04 2021-02-26 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-02-04 2021-02-26 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-02-04 2021-02-26 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2021-02-04 2021-02-26 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2021-02-04 2021-02-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-02-04 2021-02-26 N
Provide and implement an infection prevention and control program. Health 2021-02-04 2021-02-26 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-07-15 2019-08-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-07-15 2019-08-05 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 2019-07-15 2019-08-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-07-15 2019-08-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-07-15 2019-08-05 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-07-15 2019-08-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-07-15 2019-08-05 N
Provide and implement an infection prevention and control program. Health 2019-07-15 2019-08-05 N
Implement a program that monitors antibiotic use. Health 2019-07-15 2019-08-05 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2018-11-06 2018-12-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-11-06 2018-12-01 N
Establish policies and procedures for volunteers. Fire Safety 2018-11-06 2018-11-30 N
Conduct testing and exercise requirements. Fire Safety 2018-11-06 2018-11-30 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-11-06 2018-11-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-11-06 2018-11-30 N
Have proper medical gas storage and administration areas. Fire Safety 2018-11-06 2018-11-30 N
Establish emergency prep training and testing. Fire Safety 2018-11-06 2018-11-16 N
Establish roles under a Waiver declared by secretary. Fire Safety 2018-11-06 2018-11-15 N
List the names and contact information of those in the facility. Fire Safety 2018-11-06 2018-11-15 N
Establish staff and initial training requirements. Fire Safety 2018-11-06 2018-11-12 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 2018-11-06 2018-11-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-11-06 2018-11-12 N

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