Deficiency Records for Sun City Post Acute
Updated as of July 01, 2021
This is not the most recent data for Sun City Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for Sun City Post Acute. 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? |
---|---|---|---|---|
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-11 | 2021-03-28 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-02-11 | 2021-03-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-11 | 2021-03-28 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-24 | 2019-08-19 | Y |
Respond appropriately to all alleged violations. | Health | 2019-07-24 | 2019-08-19 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-16 | 2019-07-10 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-16 | 2019-07-10 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-05-16 | 2019-07-10 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-05-16 | 2019-07-10 | 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 | 2019-05-16 | 2019-07-10 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-05-16 | 2019-07-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-16 | 2019-07-10 | N |
Provide and implement an infection prevention and control program. | Health | 2019-05-16 | 2019-07-10 | N |
Respond appropriately to all alleged violations. | Health | 2019-05-16 | 2019-07-10 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-16 | 2019-07-10 | Y |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-05-16 | 2019-07-10 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Establish emergency prep training and testing. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-22 | 2019-06-18 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-12 | 2018-04-03 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-02-12 | 2018-04-03 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-02-12 | 2018-04-03 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-12 | 2018-04-03 | N |
Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-02-12 | 2018-04-03 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-12 | 2018-04-03 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-12 | 2018-04-03 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-12 | 2018-04-03 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-02-12 | 2018-04-03 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-02-12 | 2018-04-03 | 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 | 2018-02-12 | 2018-04-03 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-12 | 2018-04-03 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-02-12 | 2018-04-03 | N |
Provide and implement an infection prevention and control program. | Health | 2018-02-12 | 2018-04-03 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2018-02-07 | 2018-03-26 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2018-02-07 | 2018-03-26 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-02-07 | 2018-03-26 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-02-07 | 2018-03-26 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-07 | 2018-03-26 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-12-23 | 2017-02-27 | N |
Dispose of garbage and refuse properly. | Health | 2016-12-23 | 2017-02-27 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-12-22 | 2017-01-30 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2016-12-22 | 2017-01-30 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-12-22 | 2017-01-30 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2016-12-22 | 2017-01-30 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2016-12-22 | 2017-01-30 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2016-12-22 | 2017-01-30 | N |