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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 |
Install an approved automatic sprinkler system. | Fire Safety | 2024-04-04 | Not Fixed | N |
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