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Deficiency Records for Sunnyvale Gardens Post Acute
A list of the most recent deficiencies for Sunnyvale Gardens 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 Sunnyvale Gardens 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-13 | 2024-07-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-13 | 2023-03-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-07 | 2023-03-24 | Y |
| 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 | 2023-03-07 | 2023-03-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-18 | 2022-12-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-18 | 2022-12-16 | N |
| 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 | 2022-11-18 | 2022-12-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-18 | 2022-12-16 | 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 | 2022-11-18 | 2022-12-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-18 | 2022-12-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-18 | 2022-12-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-18 | 2022-12-16 | 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 | 2022-11-18 | 2022-12-16 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-11-18 | 2022-12-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-18 | 2022-12-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-18 | 2022-12-16 | 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 | 2022-11-18 | 2022-12-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-18 | 2022-12-16 | 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 | 2022-11-18 | 2022-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-18 | 2022-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2022-12-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-18 | 2022-12-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-18 | 2022-12-16 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-21 | 2022-12-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-21 | 2022-12-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-21 | 2022-12-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-21 | 2022-12-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-11-21 | 2022-12-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-21 | 2022-12-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-11-08 | 2022-11-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-03 | 2022-11-20 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2020-08-13 | 2020-08-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-08-13 | 2020-08-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-08-13 | 2020-08-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-08-13 | 2020-08-28 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-02-28 | 2020-03-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-28 | 2020-03-28 | N |
| 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 | 2020-02-28 | 2020-03-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-02-28 | 2020-03-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-28 | 2020-03-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-28 | 2020-03-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-28 | 2020-03-28 | 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 | 2020-02-28 | 2020-03-28 | 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 | 2020-02-28 | 2020-03-28 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-02-28 | 2020-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-28 | 2020-03-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-11 | 2019-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-30 | 2019-03-22 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-01-30 | 2019-02-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-01-30 | 2019-02-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-30 | 2019-02-22 | 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 | 2019-01-30 | 2019-02-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-30 | 2019-02-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-30 | 2019-02-22 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-01-30 | 2019-02-22 | 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 | 2019-01-30 | 2019-02-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-30 | 2019-02-22 | 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 | 2019-01-30 | 2019-02-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-30 | 2019-02-22 | N |
| Dispose of garbage and refuse properly. | Health | 2019-01-30 | 2019-02-22 | N |
| Keep all essential equipment working safely. | Health | 2019-01-30 | 2019-02-22 | N |
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