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Deficiency Records for Sunny Springs Nursing and Rehab
A list of the most recent deficiencies for Sunny Springs Nursing and Rehab. 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 Sunny Springs Nursing and Rehab. 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? |
|---|---|---|---|---|
| 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 | 2024-08-22 | 2024-08-30 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-08-22 | 2024-08-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-22 | 2024-08-30 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-22 | 2024-08-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-22 | 2024-08-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-22 | 2024-08-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-22 | 2024-08-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-22 | 2024-08-30 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-08-22 | 2024-08-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-22 | 2024-08-30 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-22 | 2024-08-30 | 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 | 2024-08-22 | 2024-08-30 | 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 | 2024-08-22 | 2024-08-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-22 | 2024-08-30 | Y |
| Have policies on smoking. | Health | 2024-08-22 | 2024-08-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-15 | 2024-08-12 | Y |
| 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 | 2024-07-15 | 2024-08-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-15 | 2024-08-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-17 | 2024-07-17 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-06-17 | 2024-07-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-31 | 2023-11-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-31 | 2023-11-14 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-14 | 2023-07-31 | 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 | 2023-07-14 | 2023-07-31 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-14 | 2023-07-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-14 | 2023-07-31 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-07-14 | 2023-07-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-14 | 2023-07-31 | 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 | 2023-07-14 | 2023-07-31 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-14 | 2023-07-31 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-14 | 2023-07-31 | Y |
| 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 | 2023-07-14 | 2023-07-31 | Y |
| 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 | 2023-07-14 | 2023-07-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-14 | 2023-07-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-14 | 2023-07-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-14 | 2023-07-15 | 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 | 2022-05-25 | 2022-06-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-05-25 | 2022-06-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-25 | 2022-06-26 | 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 | 2022-05-25 | 2022-06-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-25 | 2022-06-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-25 | 2022-06-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-25 | 2022-06-26 | 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 | 2022-05-25 | 2022-06-26 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-05-25 | 2022-06-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-25 | 2022-06-26 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-05-24 | 2022-06-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-24 | Not Fixed | N |
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