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Deficiency Records for Sunnybrook Rehabilitation Center
A list of the most recent deficiencies for Sunnybrook Rehabilitation 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 Sunnybrook Rehabilitation 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 | 2024-06-21 | 2024-07-09 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-06-21 | 2024-07-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-21 | 2024-07-09 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-06-21 | 2024-06-07 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-07 | 2024-03-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-07 | 2024-03-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-02-07 | 2024-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-07 | 2024-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-07 | 2024-03-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-07 | 2024-03-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-07 | 2024-03-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-02-07 | 2024-03-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-07 | 2024-03-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-07 | 2024-03-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-11 | 2024-01-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-11 | 2024-01-26 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-01-11 | 2024-01-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-18 | 2023-09-08 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-06-27 | 2023-07-25 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-06-27 | 2023-05-23 | Y |
| Meet other general requirements. | Fire Safety | 2022-10-13 | 2022-12-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-13 | 2022-12-16 | 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 | 2022-10-13 | 2022-12-16 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-10-13 | 2022-12-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-13 | 2022-12-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-13 | 2022-12-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-13 | 2022-12-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-15 | 2022-10-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-15 | 2022-10-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-14 | 2021-06-07 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-05-14 | 2021-06-07 | N |
| 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 | 2021-05-14 | 2021-06-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-05-14 | 2021-06-07 | 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 | 2021-05-14 | 2021-06-07 | N |
| Provide activities to meet all resident's needs. | Health | 2021-05-14 | 2021-06-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-14 | 2021-06-07 | 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 | 2021-05-14 | 2021-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-14 | 2021-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-14 | 2021-06-07 | N |
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