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Deficiency Records for Sierra Vista Healthcare
A list of the most recent deficiencies for Sierra Vista Healthcare. 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 Sierra Vista Healthcare. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-02 | 2024-09-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-08 | 2023-04-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-08 | 2023-04-06 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-09-06 | 2022-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-06 | 2022-12-30 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-09-06 | 2022-11-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-06 | 2022-11-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-06 | 2022-11-08 | 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 | 2022-09-06 | 2022-11-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-06 | 2022-11-08 | N |
| Provide activities to meet all resident's needs. | Health | 2022-09-06 | 2022-11-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-06 | 2022-11-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-06 | 2022-11-08 | 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 | 2022-09-06 | 2022-11-08 | 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 | 2022-09-06 | 2022-11-08 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-09-06 | 2022-11-08 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-09-06 | 2022-11-08 | 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 | 2022-09-06 | 2022-11-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-06 | 2022-11-08 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-09-06 | 2022-11-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-06 | 2022-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-06 | 2022-11-08 | N |
| Keep all essential equipment working safely. | Health | 2022-09-06 | 2022-11-08 | N |
| 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 | 2022-09-06 | 2022-11-08 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-08-29 | 2022-09-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-29 | 2022-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-29 | 2022-09-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-08-29 | 2022-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-29 | 2022-09-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-29 | 2022-09-19 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-08-29 | 2022-09-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-27 | 2022-06-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-05 | 2019-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-05 | 2019-10-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-05 | 2019-10-10 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-09-05 | 2019-10-10 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-08-02 | 2019-08-02 | 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 | 2019-08-02 | 2019-08-02 | 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 | 2019-08-02 | 2019-08-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-08-02 | 2019-08-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-02 | 2019-08-02 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-08-02 | 2019-08-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-02 | 2019-08-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-02 | 2019-08-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-27 | 2018-12-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-27 | 2018-12-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-07 | 2018-12-04 | 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 | 2018-09-07 | 2018-12-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-07 | 2018-12-04 | 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 | 2018-09-07 | 2018-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-07 | 2018-12-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-07 | 2018-12-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-07 | 2018-12-04 | N |
| Keep all essential equipment working safely. | Health | 2018-09-07 | 2018-12-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-09-07 | 2018-12-04 | N |
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