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Deficiency Records for Sans Souci Rehabilitation and Nursing Center
A list of the most recent deficiencies for Sans Souci Rehabilitation and Nursing 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 Sans Souci Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-02-08 | 2023-03-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-08 | 2023-03-10 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-10-27 | 2022-01-21 | N |
| Post nurse staffing information every day. | Health | 2021-10-27 | 2022-01-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-27 | 2022-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-27 | 2022-01-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-27 | 2022-01-21 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-11-23 | 2022-01-15 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-10-27 | 2021-12-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-10-27 | 2021-12-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-27 | 2021-12-24 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-10-27 | 2021-12-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-27 | 2021-12-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-27 | 2021-12-24 | 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 | 2018-08-07 | 2018-10-09 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-08-07 | 2018-10-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-08-07 | 2018-10-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-08-07 | 2018-10-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-07 | 2018-10-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-08-07 | 2018-10-09 | 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 | 2018-08-07 | 2018-10-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-07 | 2018-10-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-07 | 2018-10-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-07 | 2018-10-09 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-08-07 | 2018-10-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-07 | 2018-10-09 | N |
| Provide or obtain dental services for each resident. | Health | 2018-08-07 | 2018-10-09 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-08-07 | 2018-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-07 | 2018-10-09 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-08-03 | 2018-10-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-08-03 | 2018-10-05 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-08-03 | 2018-10-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-03 | 2018-10-05 | 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 | 2018-08-03 | 2018-10-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-03 | 2018-10-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-03 | 2018-10-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-03 | 2018-10-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-03 | 2018-10-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-08-03 | 2018-10-05 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-02-22 | 2017-04-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-02-22 | 2017-04-14 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-02-22 | 2017-03-31 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-22 | 2017-03-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-22 | 2017-03-31 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-22 | 2017-03-31 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-02-22 | 2017-03-31 | N |
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