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Deficiency Records for Sanctuary at Wilmington Place

A list of the most recent deficiencies for Sanctuary at Wilmington Place. 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 Sanctuary at Wilmington Place. 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 treatment and care according to orders, resident?s preferences and goals. Health 2024-04-25 2024-05-10 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-16 2023-12-11 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-16 2023-12-11 Y
Provide appropriate foot care. Health 2023-11-16 2023-12-11 Y
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 2022-12-27 2023-02-10 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-12-27 2023-02-10 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2022-12-27 2023-02-10 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 2022-12-27 2023-02-10 N
Observe each nurse aide's job performance and give regular training. Health 2022-12-27 2023-02-10 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-12-27 2023-02-10 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-12-27 2023-02-10 N
Provide routine and 24-hour emergency dental care for each resident. Health 2022-12-27 2023-02-10 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2022-12-27 2023-02-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-27 2023-02-10 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-12-27 2023-02-10 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 2022-12-27 2023-02-10 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-12-20 2023-02-10 N
Address subsistence needs for staff and patients. Fire Safety 2022-12-20 2023-02-10 N
Establish emergency prep training and testing. Fire Safety 2022-12-20 2023-02-10 N
Conduct testing and exercise requirements. Fire Safety 2022-12-20 2023-02-10 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 2022-12-20 2023-02-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-12-20 2023-02-10 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-12-20 2023-02-10 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-12-20 2023-02-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-12-20 2023-02-10 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-12-20 2023-02-10 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2022-12-20 2023-02-10 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-12-20 2023-02-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-12-20 2023-02-10 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-12-20 2023-02-10 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-12-27 2023-01-31 N
Post nurse staffing information every day. Health 2022-12-27 2023-01-31 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-02-24 2022-03-18 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-02-24 2022-03-18 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-02-24 2022-03-18 Y
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 2022-02-24 2022-03-18 Y
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 2019-11-26 2019-12-21 N
Ensure each resident receives an accurate assessment. Health 2019-11-26 2019-12-21 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-11-26 2019-12-21 N
Observe each nurse aide's job performance and give regular training. Health 2019-11-26 2019-12-21 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 2019-11-26 2019-12-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-11-26 2019-12-21 N
Provide and implement an infection prevention and control program. Health 2019-11-26 2019-12-21 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2019-11-25 2019-12-21 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-11-25 2019-12-21 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-11-25 2019-12-21 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-11-25 2019-12-21 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2019-11-25 2019-12-21 N
Have proper medical gas storage and administration areas. Fire Safety 2019-11-25 2019-12-21 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2018-10-11 2018-11-15 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2018-10-11 2018-11-15 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2018-10-11 2018-11-15 N
Implement a program that monitors antibiotic use. Health 2018-10-11 2018-11-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-10-12 2018-11-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-10-12 2018-11-15 N
Have proper medical gas storage and administration areas. Fire Safety 2018-10-12 2018-11-15 N

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