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Deficiency Records for Sunrise Nursing and Memory Care

A list of the most recent deficiencies for Sunrise Nursing and Memory Care. 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 Sunrise Nursing and Memory Care. 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 and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-04-11 2024-04-25 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-04-11 2024-04-25 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-10-17 2023-10-17 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 2023-08-07 2023-09-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-07 2023-09-08 N
Provide and implement an infection prevention and control program. Health 2023-08-07 2023-09-08 N
Implement a program that monitors antibiotic use. Health 2023-08-07 2023-09-08 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-08-07 2023-09-08 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-08-07 2023-09-08 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 2023-08-07 2023-09-08 N
Provide properly protected cooking facilities. Fire Safety 2023-08-07 2023-09-08 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-08-07 2023-09-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-08-07 2023-09-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-07 2023-09-08 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-08-07 2023-09-08 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-08-07 2023-09-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-07 2023-09-08 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-08-07 2023-07-23 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-05-01 2023-05-25 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-01-17 2023-02-24 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-01-17 2023-02-24 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-01-17 2023-02-24 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-01-17 2023-02-24 Y
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 2022-12-14 2023-01-13 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-11-29 2023-01-09 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-10-24 2022-12-08 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-05-16 2022-06-16 Y
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2022-02-25 2022-03-18 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-02-25 2022-03-18 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-02-08 2022-03-04 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-01-19 2022-02-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-04 2022-02-01 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-01-04 2022-02-01 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-12-09 2022-01-21 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-08-17 2022-01-02 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2021-08-17 2021-11-16 N
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2021-08-17 2021-11-16 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-08-17 2021-11-16 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2021-10-15 2021-11-16 Y
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2021-10-15 2021-11-16 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-10-15 2021-11-16 Y
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 2021-08-17 2021-10-01 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-08-17 2021-10-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-08-17 2021-10-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-08-17 2021-10-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-08-17 2021-10-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-17 2021-10-01 N
Dispose of garbage and refuse properly. Health 2021-08-17 2021-10-01 N
Perform COVID19 testing on residents and staff. Health 2021-08-17 2021-10-01 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-08-17 2021-10-01 N
Address subsistence needs for staff and patients. Fire Safety 2021-08-17 2021-10-01 N
Establish policies and procedures for volunteers. Fire Safety 2021-08-17 2021-10-01 N
Meet other general requirements. Fire Safety 2021-08-17 2021-10-01 N
Have exits that are accessible at all times. Fire Safety 2021-08-17 2021-10-01 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-08-17 2021-10-01 N
Provide properly protected cooking facilities. Fire Safety 2021-08-17 2021-10-01 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2021-08-17 2021-10-01 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-08-17 2021-10-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-08-17 2021-10-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-08-17 2021-10-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-08-17 2021-10-01 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-08-17 2021-10-01 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2021-08-17 2021-10-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-08-17 2021-10-01 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 2019-03-14 2019-05-09 N
Respond appropriately to all alleged violations. Health 2019-03-14 2019-05-09 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-03-14 2019-05-09 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2019-03-14 2019-04-15 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2019-03-14 2019-04-15 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-03-14 2019-04-15 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 2019-03-14 2019-04-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-03-14 2019-04-15 N
Provide enough food/fluids to maintain a resident's health. Health 2019-03-14 2019-04-15 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 2019-03-14 2019-04-15 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 2019-03-14 2019-04-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-03-14 2019-04-15 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2019-03-14 2019-04-15 N
Provide and implement an infection prevention and control program. Health 2019-03-14 2019-04-15 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2019-03-14 2019-04-15 N
Establish an Emergency Preparedness Program (EP). Fire Safety 2019-03-14 2019-04-15 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-03-14 2019-04-15 N
Provide a written emergency evacuation plan. Fire Safety 2019-03-14 2019-04-15 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-03-14 2019-04-15 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-03-14 2019-04-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-03-14 2019-04-15 N

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