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Deficiency Records for Sunnyside Presbyterian Retirement Community
A list of the most recent deficiencies for Sunnyside Presbyterian Retirement Community. 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 Sunnyside Presbyterian Retirement Community. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-09 | 2023-05-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-02-09 | 2023-05-12 | 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 | 2021-05-20 | 2021-06-15 | 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 | 2021-05-20 | 2021-06-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-24 | 2021-06-09 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-05-24 | 2021-06-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-05-13 | 2019-06-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-05-13 | 2019-06-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-13 | 2019-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-13 | 2019-06-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-13 | 2019-06-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-13 | 2019-06-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-13 | 2019-06-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-25 | 2019-05-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-04-25 | 2019-05-14 | 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 | 2019-04-25 | 2019-05-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-25 | 2019-05-14 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-04-25 | 2019-05-14 | N |
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