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Deficiency Records for Sweet Memorial Nursing Home
A list of the most recent deficiencies for Sweet Memorial 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 Sweet Memorial 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? |
|---|---|---|---|---|
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-12-12 | 2024-01-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-12-06 | 2024-01-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-06 | 2023-12-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-06 | 2023-12-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-06 | 2023-12-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-06 | 2023-12-27 | 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 | 2023-12-06 | 2023-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-06 | 2023-12-27 | 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 | 2023-12-06 | 2023-12-27 | 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 | 2023-12-06 | 2023-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-06 | 2023-12-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-12-06 | 2023-12-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-12 | 2023-12-27 | 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 | 2023-12-12 | 2023-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-12 | 2023-12-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-12 | 2023-12-27 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-12-12 | 2023-12-27 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-07 | 2023-01-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-07 | 2023-01-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-07 | 2023-01-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-12-07 | 2023-01-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-12-07 | 2023-01-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-07 | 2023-01-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-07 | 2023-01-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-07 | 2023-01-21 | 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 | 2022-12-13 | 2023-01-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-13 | 2023-01-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-13 | 2023-01-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-13 | 2023-01-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-07 | 2023-01-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-07 | 2023-01-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-13 | 2022-12-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-07 | 2022-12-28 | Y |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-12-13 | 2022-12-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-12-13 | 2022-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-13 | 2022-12-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-13 | 2022-12-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-13 | 2022-12-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-13 | 2022-12-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-09-07 | 2021-11-08 | 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 | 2021-09-07 | 2021-11-08 | 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 | 2021-09-07 | 2021-11-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-09-07 | 2021-11-08 | 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 | 2021-09-07 | 2021-11-08 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-09-07 | 2021-11-08 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-09-07 | 2021-11-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-07 | 2021-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-07 | 2021-11-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-07 | 2021-11-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-07 | 2021-11-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-07 | 2021-11-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-09-07 | 2021-11-08 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-09-07 | 2021-11-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-07 | 2021-11-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-07 | 2021-11-08 | 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 | 2021-09-02 | 2021-09-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-02 | 2021-09-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-02 | 2021-09-23 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-02 | 2021-09-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-02 | 2021-09-23 | 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 | 2021-09-02 | 2021-09-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-02 | 2021-09-23 | 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 | 2021-09-02 | 2021-09-23 | N |
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