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Deficiency Records for Sidney Health Center Extended Care
A list of the most recent deficiencies for Sidney Health Center Extended 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 Sidney Health Center Extended 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? |
|---|---|---|---|---|
| Establish staff and initial training requirements. | Fire Safety | 2024-09-04 | 2024-10-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-04 | 2024-10-18 | 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 | 2024-09-04 | 2024-10-18 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-09-04 | 2024-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-04 | 2024-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-04 | 2024-10-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-04 | 2024-10-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-09-04 | 2024-10-18 | 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 | 2024-08-29 | 2024-10-10 | 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 | 2024-08-29 | 2024-10-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-29 | 2024-10-10 | 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 | 2024-08-29 | 2024-10-10 | 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 | 2024-08-29 | 2024-10-10 | 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 | 2024-08-29 | 2024-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-29 | 2024-10-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-29 | 2024-10-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-03 | 2023-11-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-10-03 | 2023-11-15 | 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 | 2023-10-03 | 2023-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-03 | 2023-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-03 | 2023-11-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-03 | 2023-11-15 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2023-10-03 | 2023-11-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-03 | 2023-11-15 | N |
| Establish methods for sharing information. | Fire Safety | 2023-10-03 | 2023-10-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-26 | 2022-12-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-26 | 2022-12-05 | 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 | 2022-10-26 | 2022-12-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-26 | 2022-12-05 | 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 | 2022-10-26 | 2022-12-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-26 | 2022-12-05 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-10-26 | 2022-12-05 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-10-31 | 2022-11-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-31 | 2022-11-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-10-31 | 2022-11-04 | N |
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