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Deficiency Records for Suring Health and Rehab Center
A list of the most recent deficiencies for Suring Health and Rehab 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 Suring Health and Rehab 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-05 | 2024-09-24 | N |
| 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 | 2024-09-05 | 2024-09-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-05 | 2024-09-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-05 | 2024-09-12 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-09-05 | 2024-09-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-05 | 2024-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-05 | 2024-09-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-09-05 | 2024-09-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-05 | 2024-09-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-05 | 2024-09-11 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-09-05 | 2024-09-10 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-09-05 | 2024-09-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-03 | 2024-01-08 | Y |
| 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 | 2023-08-02 | 2023-08-07 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-02 | 2023-08-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-02 | 2023-08-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-02 | 2023-08-04 | 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 | 2023-08-02 | 2023-08-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-02 | 2023-08-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-02 | 2023-08-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-02 | 2023-08-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-01 | 2023-08-03 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-08-01 | 2023-08-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-28 | 2023-04-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-12 | 2022-12-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-10 | 2022-09-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-10 | 2022-09-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-08-10 | 2022-08-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-12 | 2022-08-15 | 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 | 2022-08-12 | 2022-08-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-12 | 2022-08-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-10 | 2022-08-11 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-08-10 | 2022-08-11 | 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 | 2022-08-10 | 2022-08-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-19 | 2022-02-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-19 | 2022-02-10 | Y |
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