Deficiency Records for Sun West Choice Healthcare and Rehab
Updated as of April 01, 2024
A list of the most recent deficiencies for Sun West Choice Healthcare 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-28 | 2023-11-22 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-03 | 2023-04-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-03 | 2023-04-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-03 | 2023-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-03 | 2023-04-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-03 | 2023-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-15 | 2022-09-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-05-05 | 2022-06-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-05 | 2022-06-03 | Y |
| 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 | 2022-01-07 | 2022-02-17 | 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 | 2022-01-07 | 2022-02-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-07 | 2022-02-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-07 | 2022-02-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-01-07 | 2022-02-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-07 | 2022-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-07 | 2022-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-07 | 2022-02-17 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-01-07 | 2022-02-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-07 | 2022-02-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-07 | 2022-02-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-01-07 | 2022-02-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-07 | 2022-02-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-07 | 2022-02-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-12 | 2019-08-22 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-07-12 | 2019-08-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-12 | 2019-08-22 | N |
