A list of the most recent deficiencies for Sandstone of Tucson Rehab Centre. 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 | 2023-06-15 | 2023-07-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-18 | 2023-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-23 | 2023-05-13 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-09-15 | 2022-12-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-09-15 | 2022-12-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-15 | 2022-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-15 | 2022-12-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-15 | 2022-12-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-09-15 | 2022-12-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-15 | 2022-12-09 | 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 | 2022-09-15 | 2022-12-09 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-09-15 | 2022-12-09 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-09-15 | 2022-12-09 | N |
| Report COVID19 data to residents and families. | Health | 2022-09-15 | 2022-12-09 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-15 | 2022-12-09 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-09-15 | 2022-12-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-15 | 2022-12-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-15 | 2022-12-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-15 | 2022-12-09 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-15 | 2022-11-18 | 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 | 2022-09-15 | 2022-11-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-15 | 2022-11-18 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-09-15 | 2022-11-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-15 | 2022-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-15 | 2022-11-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-15 | 2022-11-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-15 | 2022-11-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-15 | 2022-11-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-24 | 2022-07-29 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-24 | 2022-07-29 | 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 | 2022-01-20 | 2022-02-03 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2021-03-05 | 2021-04-23 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-03-11 | 2021-04-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-11 | 2021-04-20 | N |
| Respond appropriately to all alleged violations. | Health | 2021-03-11 | 2021-04-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-03-11 | 2021-04-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-11 | 2021-04-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-11 | 2021-04-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-11 | 2021-04-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-11 | 2021-04-20 | N |
| Post nurse staffing information every day. | Health | 2021-03-11 | 2021-04-20 | 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 | 2021-03-11 | 2021-04-20 | 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 | 2021-03-11 | 2021-04-20 | 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 | 2021-03-11 | 2021-04-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-03-11 | 2021-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-11 | 2021-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-11 | 2021-04-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-03-11 | 2021-04-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-05 | 2021-04-19 | 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 | 2021-03-05 | 2021-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-05 | 2021-04-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-05 | 2021-04-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-03-05 | 2021-04-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-03-05 | 2021-04-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-05 | 2021-04-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-05 | 2021-04-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-03-05 | 2021-04-19 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-03-05 | 2021-04-19 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-01-10 | 2019-04-05 | 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 | 2019-01-10 | 2019-04-05 | 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 | 2019-01-10 | 2019-04-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-01-10 | 2019-04-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-01-10 | 2019-04-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-10 | 2019-04-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-10 | 2019-04-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-10 | 2019-04-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-01-10 | 2019-04-05 | 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 | 2019-01-10 | 2019-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-10 | 2019-04-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-10 | 2019-04-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-01-10 | 2019-04-05 | 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 | 2019-01-10 | 2019-04-05 | 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 | 2019-01-10 | 2019-04-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-10 | 2019-04-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-01-10 | 2019-04-05 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-01-10 | 2019-04-05 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-01-15 | 2019-03-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-01-15 | 2019-03-05 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-01-15 | 2019-03-05 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-01-15 | 2019-03-05 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-01-15 | 2019-03-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-01-15 | 2019-03-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-01-15 | 2019-03-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-15 | 2019-03-05 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-01-15 | 2019-03-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-15 | 2019-03-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-15 | 2019-03-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-15 | 2019-03-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-15 | 2019-03-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-15 | 2019-03-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-15 | 2019-03-05 | N |
