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Deficiency Records for Sunrise Health Services
A list of the most recent deficiencies for Sunrise Health Services. 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 Sunrise Health Services. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-04 | 2024-06-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-01 | 2024-05-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-01 | 2024-05-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-01 | 2024-05-29 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-05-01 | 2024-05-29 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-05-01 | 2024-05-29 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-04 | 2024-05-03 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-04-04 | 2024-05-03 | Y |
| 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 | 2024-04-04 | 2024-05-03 | Y |
| 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 | 2024-04-04 | 2024-05-03 | Y |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-04-04 | 2024-05-03 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2024-04-04 | 2024-05-03 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-04-04 | 2024-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-04 | 2024-05-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-04 | 2024-05-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-06 | 2024-02-05 | 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 | 2024-01-06 | 2024-02-05 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-31 | 2023-09-27 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-08-31 | 2023-09-27 | Y |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-01-11 | 2023-02-23 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-01-11 | 2023-02-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-17 | 2023-02-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-17 | 2023-02-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-17 | 2023-02-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-17 | 2023-02-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-17 | 2023-02-15 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-01-17 | 2023-02-15 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-01-17 | 2023-02-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-17 | 2023-02-15 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-01-17 | 2023-02-15 | Y |
| 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 | 2023-01-17 | 2023-02-15 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-01-11 | 2023-02-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-11 | 2023-02-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-11 | 2023-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-11 | 2023-02-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-11 | 2023-02-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-11 | 2023-02-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-11 | 2023-02-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-01-11 | 2023-02-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-27 | 2022-05-18 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-09 | 2022-01-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-09 | 2022-01-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-09 | 2022-01-25 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-12-09 | 2022-01-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-09 | 2022-01-25 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-12-09 | 2022-01-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-09 | 2022-01-25 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-12-09 | 2022-01-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-09 | 2022-01-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-13 | 2022-01-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-13 | 2022-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-13 | 2022-01-13 | 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 | 2021-12-13 | 2022-01-13 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-13 | 2022-01-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-13 | 2022-01-13 | 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 | 2021-10-20 | 2021-11-15 | 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 | 2021-10-20 | 2021-11-15 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-04 | Not Fixed | N |
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