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Deficiency Records for Sage Nursing and Rehab
A list of the most recent deficiencies for Sage Nursing and Rehab. 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 Sage Nursing and Rehab. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-02 | 2024-06-15 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-02-15 | 2024-03-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-02-15 | 2024-03-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-02-15 | 2024-03-29 | 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 | 2024-02-15 | 2024-03-29 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-02-15 | 2024-03-29 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-02-15 | 2024-03-29 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-02-15 | 2024-03-29 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-02-15 | 2024-03-29 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-02-15 | 2024-03-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-15 | 2024-03-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-15 | 2024-03-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-15 | 2024-03-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-15 | 2024-03-29 | Y |
| 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 | 2024-02-09 | 2024-03-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-02-09 | 2024-03-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-02-09 | 2024-03-25 | 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 | 2024-02-09 | 2024-03-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-09 | 2024-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-09 | 2024-03-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-09 | 2024-03-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-09 | 2024-03-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-09 | 2024-03-25 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-03-01 | 2023-03-20 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-11-30 | 2023-01-31 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-08 | 2022-12-08 | N |
| 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 | 2021-12-08 | 2022-04-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-08 | 2022-04-30 | 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 | 2021-12-08 | 2022-04-30 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-12-08 | 2022-04-30 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2021-12-08 | 2022-04-30 | N |
| Respond appropriately to all alleged violations. | Health | 2021-12-08 | 2022-04-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-08 | 2022-04-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-08 | 2022-04-30 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-12-08 | 2022-04-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-16 | 2022-04-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-16 | 2022-04-30 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-16 | 2022-04-30 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-12-08 | 2022-03-16 | 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 | 2021-12-08 | 2022-03-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-18 | 2022-03-04 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-01-18 | 2022-03-04 | 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 | 2022-01-18 | 2022-03-04 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2021-12-08 | 2022-01-22 | N |
| 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 | 2021-12-08 | 2022-01-22 | 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 | 2021-12-08 | 2022-01-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-08 | 2022-01-22 | N |
| Provide activities to meet all resident's needs. | Health | 2021-12-08 | 2022-01-22 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-12-08 | 2022-01-22 | N |
| Provide appropriate foot care. | Health | 2021-12-08 | 2022-01-22 | N |
| Post nurse staffing information every day. | Health | 2021-12-08 | 2022-01-22 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-12-08 | 2022-01-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-08 | 2022-01-22 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-12-08 | 2022-01-22 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-12-08 | 2022-01-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-08 | 2022-01-22 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-12-08 | 2022-01-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-08 | 2022-01-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-12-08 | 2022-01-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-08 | 2022-01-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-08 | 2022-01-22 | 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 | 2021-12-08 | 2022-01-22 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-08 | 2022-01-22 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-08 | 2022-01-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-12-08 | 2022-01-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-08 | 2022-01-22 | 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 | 2021-12-08 | 2022-01-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-12-08 | 2022-01-22 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-12-08 | 2022-01-22 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-12-08 | 2022-01-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-08 | 2022-01-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-08 | 2022-01-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-12-08 | 2022-01-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-08 | 2022-01-22 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-12-08 | 2022-01-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-08 | 2022-01-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-08 | 2022-01-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-06 | 2019-10-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-06 | 2019-10-18 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-09-06 | 2019-10-18 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-09-06 | 2019-10-18 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-09-06 | 2019-10-18 | N |
| 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 | 2019-09-06 | 2019-10-18 | 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 | 2019-09-06 | 2019-10-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-06 | 2019-10-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-06 | 2019-10-18 | N |
| Provide activities to meet all resident's needs. | Health | 2019-09-06 | 2019-10-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-06 | 2019-10-18 | 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 | 2019-09-06 | 2019-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-06 | 2019-10-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-06 | 2019-10-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-06 | 2019-10-18 | 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 | 2019-09-06 | 2019-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-06 | 2019-10-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-06 | 2019-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-06 | 2019-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-06 | 2019-10-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-06 | 2019-10-18 | N |
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