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Deficiency Records for Sunrise Country Manor
A list of the most recent deficiencies for Sunrise Country Manor. 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 Country Manor. 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 pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-21 | 2024-07-05 | 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 | 2024-04-02 | 2024-05-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-04-02 | 2024-05-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-04-02 | 2024-05-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-02 | 2024-05-17 | 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 | 2024-04-02 | 2024-05-17 | 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 | 2024-04-02 | 2024-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-02 | 2024-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-02 | 2024-05-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-29 | 2024-05-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-29 | 2024-05-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-29 | 2024-05-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-29 | 2024-05-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-29 | 2024-05-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-29 | 2024-05-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-29 | 2024-05-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-03-29 | 2024-05-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-29 | 2024-05-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-03-29 | 2024-05-17 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-03-29 | 2024-05-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-16 | 2023-06-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-16 | 2023-06-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-15 | 2023-06-30 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-05-15 | 2023-06-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-15 | 2023-06-30 | 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 | 2023-05-15 | 2023-06-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-15 | 2023-06-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-15 | 2023-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-15 | 2023-06-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-05-15 | 2023-06-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-05-15 | 2023-06-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-15 | 2023-06-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-15 | 2023-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-15 | 2023-06-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-15 | 2023-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-15 | 2023-06-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-05-15 | 2023-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-15 | 2023-06-30 | 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 | 2023-01-04 | 2023-02-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-04 | 2023-02-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-02-23 | 2022-06-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-23 | 2022-06-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-23 | 2022-06-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-23 | 2022-06-03 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-23 | 2022-06-03 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-23 | 2022-06-03 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-02-23 | 2022-04-08 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-02-23 | 2022-04-08 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-02-23 | 2022-04-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-23 | 2022-04-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-23 | 2022-04-08 | 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 | 2022-02-23 | 2022-04-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-02-23 | 2022-04-08 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-02-23 | 2022-04-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-02-23 | 2022-04-08 | 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 | 2022-02-23 | 2022-04-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-23 | 2022-04-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-23 | 2022-04-08 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-02-23 | 2022-04-08 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-02-23 | 2022-04-08 | Y |
| Meet other general requirements. | Fire Safety | 2022-02-15 | 2022-04-08 | 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 | 2022-02-15 | 2022-04-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-15 | 2022-04-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-15 | 2022-04-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-15 | 2022-04-08 | N |
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