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Deficiency Records for Sayre Health Care Center
A list of the most recent deficiencies for Sayre Health 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 Sayre Health 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-30 | 2024-05-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-30 | 2024-05-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-30 | 2024-05-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-30 | 2024-05-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-04-19 | 2024-05-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-19 | 2024-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-19 | 2024-05-16 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-04-19 | 2024-05-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-04-19 | 2024-05-16 | 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 | 2024-04-19 | 2024-05-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-19 | 2024-05-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-19 | 2024-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-19 | 2024-05-16 | 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 | 2024-04-19 | 2024-05-16 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-04-19 | 2024-05-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-25 | 2023-08-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-25 | 2023-08-28 | Y |
| 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 | 2023-05-30 | 2023-06-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-30 | 2023-06-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-30 | 2023-06-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-30 | 2023-06-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-30 | 2023-06-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-23 | 2023-06-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-05-23 | 2023-06-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-23 | 2023-06-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-23 | 2023-06-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-23 | 2023-06-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-16 | 2023-03-30 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-16 | 2023-03-30 | Y |
| 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 | 2023-03-16 | 2023-03-30 | Y |
| 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 | 2023-03-16 | 2023-03-30 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-11-28 | 2022-12-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-28 | 2022-12-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-25 | 2022-11-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-19 | 2022-09-05 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-17 | 2022-07-19 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-17 | 2022-06-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-17 | 2022-06-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-17 | 2022-06-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-17 | 2022-06-01 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-05-17 | 2022-06-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-17 | 2022-06-01 | 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 | 2022-05-06 | 2022-05-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-06 | 2022-05-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-06 | 2022-05-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-06 | 2022-05-27 | 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 | 2022-05-06 | 2022-05-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-06 | 2022-05-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-06 | 2022-05-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-06 | 2022-05-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-06 | 2022-05-27 | 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 | 2022-05-06 | 2022-05-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-06 | 2022-05-27 | 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 | 2022-05-06 | 2022-05-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-06 | 2022-05-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-06 | 2022-05-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-06 | 2022-05-27 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-02-11 | 2022-02-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-11 | 2022-02-18 | Y |
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