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Deficiency Records for Sandhills Care Center
A list of the most recent deficiencies for Sandhills Care Center. 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 Sandhills Care Center. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-23 | 2024-06-14 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-05-23 | 2024-06-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-23 | 2024-06-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-23 | 2024-06-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-23 | 2024-06-14 | 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 | 2024-05-23 | 2024-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-23 | 2024-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-06-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-23 | 2024-06-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-23 | 2024-06-14 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-05-23 | 2024-06-14 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-05-23 | 2024-06-14 | 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 | 2024-05-23 | 2024-06-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-26 | 2023-11-10 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-18 | 2023-06-16 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-05-18 | 2023-06-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-18 | 2023-06-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-18 | 2023-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-16 | 2023-06-09 | N |
| Meet other general requirements. | Fire Safety | 2023-05-16 | 2023-06-09 | 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 | 2023-05-16 | 2023-06-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-16 | 2023-06-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-16 | 2023-06-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-16 | 2023-06-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-15 | 2022-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-15 | 2022-04-29 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-03-15 | 2022-04-29 | 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 | 2022-03-15 | 2022-04-29 | N |
| Respond appropriately to all alleged violations. | Health | 2022-03-15 | 2022-04-29 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-03-15 | 2022-04-29 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-03-15 | 2022-04-29 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-15 | 2022-04-29 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-03-15 | 2022-04-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-15 | 2022-04-29 | 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 | 2022-03-10 | 2022-04-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-10 | 2022-04-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-10 | 2022-04-29 | 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 | 2022-01-20 | 2022-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-20 | 2022-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-20 | 2022-02-28 | Y |
| 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 | 2021-12-13 | 2022-01-12 | Y |
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