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Deficiency Records for Sandstone American Fork
A list of the most recent deficiencies for Sandstone American Fork. 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 American Fork. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-06 | 2024-01-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-06 | 2024-01-17 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-12-06 | 2024-01-17 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-12-06 | 2024-01-17 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-12-06 | 2024-01-17 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-12-06 | 2024-01-17 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-06 | 2024-01-17 | Y |
| 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 | 2023-12-06 | 2024-01-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-06 | 2024-01-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-06 | 2024-01-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-06 | 2024-01-17 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-06 | 2024-01-17 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-06 | 2024-01-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-06 | 2024-01-17 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-12-06 | 2024-01-17 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-12-06 | 2024-01-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-06 | 2024-01-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2024-01-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-06 | 2024-01-17 | Y |
| 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 | 2023-12-06 | 2024-01-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-06 | 2024-01-17 | 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 | 2023-12-06 | 2024-01-17 | Y |
| Post nurse staffing information every day. | Health | 2023-12-06 | 2024-01-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-06 | 2024-01-17 | 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 | 2023-12-06 | 2024-01-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-06 | 2024-01-17 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-12-06 | 2024-01-17 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-12-06 | 2024-01-17 | 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 | 2023-12-06 | 2024-01-17 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-06 | 2024-01-17 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-12-06 | 2024-01-17 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-12-06 | 2024-01-17 | Y |
| 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 | 2023-12-06 | 2024-01-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-06 | 2024-01-17 | Y |
| 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 | 2023-12-06 | 2024-01-17 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-06 | 2024-01-17 | Y |
| Implement a program that monitors antibiotic use. | Health | 2023-12-06 | 2024-01-17 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2023-12-06 | 2024-01-17 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-12-06 | 2024-01-17 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-27 | 2024-01-17 | 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 | 2023-11-27 | 2024-01-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-01 | 2022-04-30 | N |
| Meet other general requirements. | Fire Safety | 2022-03-01 | 2022-04-30 | N |
| 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 | 2022-03-01 | 2022-04-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-01 | 2022-04-30 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-02-28 | 2022-04-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-28 | 2022-04-15 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-02-28 | 2022-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-28 | 2022-04-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-02-28 | 2022-04-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-28 | 2022-04-15 | N |
| Keep all essential equipment working safely. | Health | 2022-02-28 | 2022-04-15 | N |
| Ensure resident rooms meet each resident's needs. | Health | 2022-02-28 | 2022-04-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-02-28 | 2022-04-15 | N |
| Ensure each resident room has a window to the outside that meets requirements | Health | 2022-02-28 | 2022-04-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-28 | 2022-04-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-28 | 2022-04-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-28 | 2022-04-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-28 | 2022-04-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-28 | 2022-04-15 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-28 | 2022-04-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-28 | 2022-04-15 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-03 | 2020-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-03 | 2020-01-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-05 | 2020-01-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-05 | 2020-01-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-05 | 2020-01-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-12-05 | 2020-01-20 | 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 | 2019-12-05 | 2020-01-20 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-12-05 | 2020-01-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-05 | 2020-01-20 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-12-05 | 2020-01-20 | N |
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