A list of the most recent deficiencies for Sandstone Estates 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-05 | 2023-06-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-05 | 2023-06-30 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-02-01 | 2023-06-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-01 | 2023-06-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-01 | 2023-06-08 | N |
| 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 | 2023-02-01 | 2023-06-08 | 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 | 2023-02-01 | 2023-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-01 | 2023-06-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-01 | 2023-06-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-01 | 2023-06-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-01 | 2023-06-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-01 | 2023-06-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-01 | 2023-06-08 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-01-26 | 2023-03-03 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-01-26 | 2023-02-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-26 | 2023-02-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-26 | 2023-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-26 | 2023-02-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-26 | 2023-02-03 | 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 | 2023-01-26 | 2023-02-03 | 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 | 2023-01-26 | 2023-02-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-26 | 2023-02-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-26 | 2023-02-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-21 | 2022-11-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-21 | 2022-11-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-21 | 2022-11-18 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-12-06 | 2022-01-28 | 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 | 2021-12-06 | 2022-01-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-12-06 | 2022-01-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-12-06 | 2022-01-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-06 | 2022-01-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-06 | 2022-01-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-06 | 2022-01-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-06 | 2022-01-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-06 | 2022-01-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-12-06 | 2022-01-28 | 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 | 2021-12-06 | 2022-01-28 | 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 | 2021-12-06 | 2022-01-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-06 | 2022-01-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-06 | 2022-01-28 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-12-06 | 2022-01-28 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-12-03 | 2022-01-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-03 | 2022-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-03 | 2022-01-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-03 | 2022-01-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-03 | 2022-01-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-03 | 2022-01-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-24 | 2019-09-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-07-24 | 2019-09-01 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-07-24 | 2019-09-01 | N |
