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Deficiency Records for Sunset Ridge Rehabilitation and Nursing Center
A list of the most recent deficiencies for Sunset Ridge 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 Sunset Ridge 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-25 | 2024-06-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-25 | 2024-06-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-25 | 2024-06-11 | N |
| Respond appropriately to all alleged violations. | Health | 2024-04-25 | 2024-06-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-25 | 2024-06-11 | 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 | 2024-04-25 | 2024-06-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-25 | 2024-06-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-25 | 2024-06-11 | 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 | 2024-04-25 | 2024-06-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-25 | 2024-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-25 | 2024-06-11 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-04-25 | 2024-06-11 | 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 | 2024-04-08 | 2024-05-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-04-08 | 2024-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-08 | 2024-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-08 | 2024-05-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-08 | 2024-05-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-01 | 2023-07-05 | 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 | 2023-06-01 | 2023-07-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-06-01 | 2023-07-05 | 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 | 2023-06-01 | 2023-07-05 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-06-01 | 2023-07-05 | 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 | 2023-06-14 | 2023-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-14 | 2023-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-14 | 2023-07-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-14 | 2023-07-05 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2022-08-26 | 2022-10-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-26 | 2022-10-12 | 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 | 2022-08-26 | 2022-10-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-26 | 2022-10-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-08-26 | 2022-10-12 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-08-16 | 2022-09-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-16 | 2022-09-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-16 | 2022-09-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-16 | 2022-09-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-16 | 2022-09-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-19 | 2022-06-02 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-19 | 2022-06-02 | Y |
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