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Deficiency Records for Sanilac Medical Care Facility
A list of the most recent deficiencies for Sanilac Medical Care Facility. 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 Sanilac Medical Care Facility. 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? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-26 | 2024-08-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-01 | 2024-07-30 | 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 | 2024-07-01 | 2024-07-30 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-07-01 | 2024-07-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-07-01 | 2024-07-30 | 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 | 2024-07-01 | 2024-07-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-01 | 2024-07-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-01 | 2024-07-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-01 | 2024-07-30 | 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 | 2024-07-01 | 2024-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-01 | 2024-07-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-07-01 | 2024-07-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-01 | 2024-07-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-01 | 2024-07-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-01 | 2024-07-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-01 | 2024-07-30 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-26 | 2024-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-26 | 2024-07-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-06-26 | 2024-07-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-06-26 | 2024-07-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-28 | 2023-08-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-28 | 2023-08-18 | 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 | 2023-06-28 | 2023-08-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-28 | 2023-08-18 | 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 | 2023-06-28 | 2023-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-28 | 2023-08-18 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-06-28 | 2023-08-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-28 | 2023-08-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-06-28 | 2023-08-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-06-22 | 2023-08-18 | 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 | 2023-06-22 | 2023-08-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-22 | 2023-08-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-22 | 2023-08-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-22 | 2023-08-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-02 | 2023-04-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-02 | 2023-04-07 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-29 | 2021-11-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-09-29 | 2021-11-27 | 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 | 2021-09-29 | 2021-11-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-29 | 2021-11-27 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-09-29 | 2021-11-27 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2021-09-29 | 2021-11-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-29 | 2021-11-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-07 | 2021-11-15 | 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 | 2021-10-07 | 2021-11-15 | 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 | 2021-10-07 | 2021-11-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-07 | 2021-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-07 | 2021-11-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-10-07 | 2021-11-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-07 | 2021-11-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-07 | 2021-11-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-07 | 2021-11-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-10-07 | 2021-11-15 | 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 | 2021-10-07 | 2021-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-07 | 2021-11-15 | N |
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