Deficiency Records for Sandstone of Tucson Rehab Centre
Updated as of May 01, 2019
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? |
|---|---|---|---|---|
| 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 |
| 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 ne | 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 |
| 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 | Y |
| 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 |
| Be properly staffed | 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 |
| 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 | 2018-02-23 | 2018-03-27 | Y |
| Post nurse staffing information every day. | Health | 2018-02-23 | 2018-03-27 | Y |
| 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 |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-02-02 | 2017-02-24 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2017-02-02 | 2017-02-24 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-09-29 | 2016-10-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-29 | 2016-10-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-29 | 2016-10-28 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-09-21 | 2016-10-20 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-09-21 | 2016-10-20 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-21 | 2016-10-20 | N |
