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Deficiency Records for Sutton Park Center For Nursing and Rehabilitation
A list of the most recent deficiencies for Sutton Park Center For Nursing and Rehabilitation. 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 Sutton Park Center For Nursing and Rehabilitation. 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 | 2023-11-14 | 2024-01-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-14 | 2024-01-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-14 | 2024-01-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-14 | 2024-01-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-14 | 2024-01-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-11-14 | 2024-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-14 | 2024-01-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-14 | 2024-01-03 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-11-14 | 2023-12-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-14 | 2023-12-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-14 | 2023-12-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-14 | 2023-12-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-14 | 2023-12-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-05 | 2023-06-30 | 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 | 2023-05-05 | 2023-06-30 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-05-05 | 2023-06-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-05 | 2023-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-05 | 2023-06-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-05 | 2023-06-30 | Y |
| Assess the resident when there is a significant change in condition | Health | 2019-09-25 | 2019-12-31 | N |
| Provide activities to meet all resident's needs. | Health | 2019-09-25 | 2019-12-31 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-09-25 | 2019-12-31 | 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 | 2019-10-15 | 2019-12-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-10-15 | 2019-12-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-15 | 2019-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-15 | 2019-12-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-15 | 2019-12-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-15 | 2019-12-13 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2019-10-15 | 2019-12-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-10-15 | 2019-12-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-12-18 | 2018-02-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-18 | 2018-02-19 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-12-18 | 2018-02-19 | 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 | 2017-12-18 | 2018-02-01 | 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 | 2017-12-18 | 2018-02-01 | N |
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