Deficiency Records for Sandstone of Tucson Rehab Centre
Updated as of October 01, 2022
This is not the most recent data for Sandstone of Tucson Rehab Centre. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 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 |
| Provide and implement an infection prevention and control program. | Health | 2020-12-09 | 2021-01-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-04-02 | 2020-05-08 | 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 |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-10-05 | 2017-12-06 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-10-05 | 2017-12-06 | N |
| Provide housekeeping and maintenance services. | Health | 2017-10-05 | 2017-12-06 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-05 | 2017-12-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-05 | 2017-12-06 | 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 | 2017-10-05 | 2017-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-05 | 2017-12-06 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-05 | 2017-12-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-10-05 | 2017-12-06 | 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 | 2017-10-03 | 2017-11-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-10-03 | 2017-11-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-10-03 | 2017-11-07 | N |
