Deficiency Records for Haven of Sandpointe, LLC
Updated as of March 01, 2020
This is not the most recent data for Haven of Sandpointe, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Haven of Sandpointe, LLC. 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 each resident receives an accurate assessment. | Health | 2018-12-20 | 2019-03-08 | 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 ne | Health | 2018-12-20 | 2019-03-08 | 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 | 2018-12-20 | 2019-03-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-20 | 2019-03-08 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-12-20 | 2019-03-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-12-20 | 2019-03-08 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-21 | 2019-01-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-12-21 | 2019-01-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-12-21 | 2019-01-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-21 | 2019-01-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-21 | 2019-01-28 | N |
| Be properly staffed | Fire Safety | 2018-12-21 | 2019-01-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-21 | 2019-01-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-21 | 2019-01-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-09-14 | 2017-11-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-14 | 2017-11-22 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-09-14 | 2017-11-22 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-14 | 2017-11-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-14 | 2017-11-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-09-14 | 2017-11-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-14 | 2017-11-22 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-09-15 | 2017-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-15 | 2017-10-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-15 | 2017-10-26 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-09-02 | 2016-10-19 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-09-02 | 2016-10-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-01 | 2016-10-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-09-01 | 2016-10-14 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-09-01 | 2016-10-14 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-09-01 | 2016-10-14 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-09-01 | 2016-10-14 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-09-01 | 2016-10-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-01 | 2016-10-14 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-01 | 2016-10-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-01 | 2016-10-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-09-01 | 2016-10-14 | N |
