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Deficiency Records for Sunrise Post Acute
A list of the most recent deficiencies for Sunrise Post Acute. 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 Post Acute. 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? |
|---|---|---|---|---|
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-08-08 | 2024-09-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-08-08 | 2024-09-01 | N |
| 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 | 2024-08-08 | 2024-09-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-08 | 2024-09-01 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-08-08 | 2024-09-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-08 | 2024-09-01 | 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 | 2024-08-08 | 2024-09-01 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-08-08 | 2024-09-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-08-08 | 2024-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-08 | 2024-09-01 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-08-08 | 2024-09-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-08 | 2024-09-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-08-13 | 2024-08-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-13 | 2024-08-23 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-05-13 | 2024-05-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-26 | 2024-04-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-04 | 2024-01-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-28 | 2023-12-02 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-26 | 2023-11-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-11-26 | 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 | 2023-10-26 | 2023-11-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-23 | 2023-11-12 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-23 | 2023-11-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-12 | 2023-11-12 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-09-11 | 2023-10-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-05 | 2023-10-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-10 | 2023-02-10 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-10-19 | 2022-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-18 | 2022-05-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-25 | 2022-02-18 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-01-25 | 2022-02-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-12 | 2022-02-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-12 | 2022-02-09 | Y |
| 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 | 2021-11-04 | 2021-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-04 | 2021-12-10 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-11-04 | 2021-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2021-12-10 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-11-08 | 2021-11-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-11-08 | 2021-11-22 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-11-08 | 2021-11-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-11-08 | 2021-11-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-11-08 | 2021-11-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-11-08 | 2021-11-22 | 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 | 2021-11-08 | 2021-11-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-08 | 2021-11-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-08 | 2021-11-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-08 | 2021-11-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-08 | 2021-11-22 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-03-10 | 2020-04-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-03-10 | 2020-04-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-03-10 | 2020-04-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-03-10 | 2020-04-09 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-03-10 | 2020-04-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-10 | 2020-04-09 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-03-10 | 2020-04-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-03-10 | 2020-04-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-10 | 2020-04-09 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-03-10 | 2020-04-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-10 | 2020-04-09 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2020-03-10 | 2020-04-09 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2020-03-10 | 2020-04-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-10 | 2020-04-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-06 | 2020-04-06 | 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 | 2020-03-06 | 2020-04-06 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2020-03-06 | 2020-04-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-06 | 2020-04-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-06 | 2020-04-06 | 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 | 2020-03-06 | 2020-04-06 | N |
| Post nurse staffing information every day. | Health | 2020-03-06 | 2020-04-06 | 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 | 2020-03-06 | 2020-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-06 | 2020-04-06 | N |
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