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Deficiency Records for Saunders Nursing and Rehabilitation Center

A list of the most recent deficiencies for Saunders Nursing and 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 Saunders Nursing and 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?
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2024-07-31 2024-08-20 N
Use approved construction type or materials. Fire Safety 2024-07-31 2024-08-20 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2024-07-31 2024-08-20 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-07-31 2024-08-20 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-07-31 2024-08-20 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-07-31 2024-08-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-19 2024-08-09 Y
Respond appropriately to all alleged violations. Health 2024-07-19 2024-08-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-19 2024-08-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-19 2024-08-09 N
Provide or get specialized rehabilitative services as required for a resident. Health 2024-07-19 2024-08-09 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-07-19 2024-08-09 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-02-01 2024-03-06 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-11-08 2023-11-24 Y
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2023-11-08 2023-11-24 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-08 2023-11-24 Y
Respond appropriately to all alleged violations. Health 2023-09-21 2023-11-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-09-21 2023-11-08 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-09-21 2023-11-08 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-09-21 2023-11-08 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-09-21 2023-11-08 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-09-21 2023-11-08 N
Post nurse staffing information every day. Health 2023-09-21 2023-11-08 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 2023-09-21 2023-11-08 N
Have policies on smoking. Health 2023-09-21 2023-11-08 N
Provide properly protected cooking facilities. Fire Safety 2023-09-25 2023-11-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-09-25 2023-11-08 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-09-25 2023-11-08 N
Have proper medical gas storage and administration areas. Fire Safety 2023-09-25 2023-11-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-07-05 2023-08-01 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-07-05 2023-08-01 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-05-19 2023-06-14 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-05-19 2023-06-14 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-04-25 2023-05-30 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-02-10 2023-03-07 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-01-23 2023-02-21 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-01-23 2023-02-21 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-11-22 2023-01-15 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2022-11-22 2023-01-15 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-11-22 2023-01-15 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 2022-11-22 2023-01-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-22 2023-01-15 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2022-11-22 2023-01-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-11-22 2023-01-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-11-22 2023-01-15 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-11-22 2023-01-15 N
Have proper medical gas storage and administration areas. Fire Safety 2022-11-22 2023-01-15 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-11-18 2023-01-09 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 2022-11-18 2023-01-09 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 2022-11-18 2023-01-09 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-11-18 2023-01-09 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2022-11-18 2023-01-09 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-11-18 2023-01-09 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-11-18 2023-01-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-18 2023-01-09 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 2022-11-18 2023-01-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-18 2023-01-09 N
Assist a resident in gaining access to vision and hearing services. Health 2022-11-18 2023-01-09 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-18 2023-01-09 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 2022-11-18 2023-01-09 N
Provide enough food/fluids to maintain a resident's health. Health 2022-11-18 2023-01-09 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-11-18 2023-01-09 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-11-18 2023-01-09 N
Observe each nurse aide's job performance and give regular training. Health 2022-11-18 2023-01-09 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 2022-11-18 2023-01-09 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 2022-11-18 2023-01-09 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-11-18 2023-01-09 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2022-11-18 2023-01-09 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-28 2022-08-24 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2022-02-17 2022-04-06 Y

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