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Deficiency Records for Sayre Christian Village Nursing Home
A list of the most recent deficiencies for Sayre Christian Village Nursing 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 Sayre Christian Village Nursing 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-09 | 2023-12-08 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-09 | 2023-12-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-09 | 2023-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2023-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-31 | 2022-03-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-06 | 2020-02-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-06 | 2020-02-26 | 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 | 2020-02-05 | 2020-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-05 | 2020-02-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-05 | 2020-02-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-05 | 2020-02-26 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2020-02-05 | 2020-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-05 | 2020-02-26 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-02-12 | 2019-04-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-14 | 2019-03-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-02-14 | 2019-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-14 | 2019-03-31 | 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 | 2019-02-14 | 2019-03-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-14 | 2019-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-14 | 2019-03-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-02-14 | 2019-03-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-14 | 2019-03-31 | 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 | 2019-02-14 | 2019-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-14 | 2019-03-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-02-14 | 2019-03-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-12 | 2019-03-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-12 | 2019-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-12 | 2019-03-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-12 | 2019-03-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-03-15 | 2018-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-15 | 2018-05-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-03-15 | 2018-05-25 | 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 | 2018-03-15 | 2018-05-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-03-15 | 2018-05-25 | 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 | 2018-03-15 | 2018-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-15 | 2018-05-25 | N |
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