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Deficiency Records for Sunnyside Healthcare Center
A list of the most recent deficiencies for Sunnyside Healthcare 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 Sunnyside Healthcare 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? |
---|---|---|---|---|
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-04 | 2023-12-28 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-10 | 2023-11-03 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-10 | 2023-11-03 | 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 | 2023-10-10 | 2023-11-03 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-10 | 2023-11-03 | 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 | 2023-10-10 | 2023-11-03 | N |
Provide and implement an infection prevention and control program. | Health | 2023-10-10 | 2023-11-03 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-10 | 2023-11-03 | Y |
List the names and contact information of those in the facility. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
Establish staff and initial training requirements. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
Meet other general requirements. | Fire Safety | 2023-10-04 | 2023-11-03 | 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 | 2023-10-04 | 2023-11-03 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-09-19 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-27 | 2023-02-22 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-14 | 2023-01-25 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-14 | 2023-01-25 | Y |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-08-31 | 2022-10-13 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-31 | 2022-10-13 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-31 | 2022-10-13 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-31 | 2022-10-13 | Y |
Respond appropriately to all alleged violations. | Health | 2022-08-31 | 2022-10-13 | Y |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
List the names and contact information of those in the facility. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
Establish staff and initial training requirements. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
Meet other general requirements. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-30 | 2020-03-25 | N |
Provide emergency officials' contact information. | Fire Safety | 2020-01-30 | 2020-03-25 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-30 | 2020-03-25 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-30 | 2020-03-25 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-30 | 2020-03-25 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-06 | 2020-03-24 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-06 | 2020-03-24 | 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 | 2020-02-06 | 2020-03-24 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-06 | 2020-03-24 | 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 | 2020-02-06 | 2020-03-24 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-06 | 2020-03-24 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-06 | 2020-03-24 | 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 | 2020-02-06 | 2020-03-24 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-06 | 2020-03-24 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-06 | 2020-03-24 | 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 | 2020-02-06 | 2020-03-24 | N |
Post nurse staffing information every day. | Health | 2020-02-06 | 2020-03-24 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-02-06 | 2020-03-24 | 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 | 2020-02-06 | 2020-03-24 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-06 | 2020-03-24 | N |
Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-03-24 | N |
Implement a program that monitors antibiotic use. | Health | 2020-02-06 | 2020-03-24 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-06 | 2020-03-24 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-06 | 2020-03-24 | N |
Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2020-02-06 | 2020-03-24 | N |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2020-02-06 | 2020-03-24 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-30 | 2020-03-23 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-01-30 | 2020-02-23 | N |
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