Deficiency Records for Sandstone Canyon Rim
Updated as of August 01, 2024
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Deficiency Records for Sandstone Canyon Rim
A list of the most recent deficiencies for Sandstone Canyon Rim. 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 Sandstone Canyon Rim. 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? |
---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-06-26 | 2024-07-10 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-26 | 2024-07-10 | N |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-08-17 | 2022-09-09 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-08-17 | 2022-09-09 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-08-17 | 2022-09-09 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-08-17 | 2022-09-09 | 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 | 2022-08-17 | 2022-09-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-17 | 2022-09-09 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-17 | 2022-09-09 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-17 | 2022-09-09 | Y |
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 | 2022-08-17 | 2022-09-09 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-08-17 | 2022-09-09 | Y |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-16 | 2022-09-02 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-08-16 | 2022-09-02 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-16 | 2022-09-02 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-25 | 2020-07-25 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-25 | 2020-07-25 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-25 | 2020-07-25 | N |
Respond appropriately to all alleged violations. | Health | 2020-02-25 | 2020-07-25 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-25 | 2020-07-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-25 | 2020-07-25 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-25 | 2020-07-25 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-02-25 | 2020-07-25 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-02-25 | 2020-07-25 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-25 | 2020-07-25 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-02-25 | 2020-07-25 | N |
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2020-02-25 | 2020-07-25 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-25 | 2020-07-25 | N |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2020-02-18 | 2020-04-01 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-18 | 2020-04-01 | 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 | 2020-02-18 | 2020-04-01 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-18 | 2020-04-01 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-18 | 2020-04-01 | N |
Have restrictions on the use of flammable curtains. | Fire Safety | 2020-02-18 | 2020-04-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-18 | 2020-04-01 | N |
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