A list of the most recent deficiencies for Sunny Village Care Center. 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 nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-01-03 | 2024-02-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-22 | 2023-12-04 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-01 | 2023-11-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-29 | 2023-10-23 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-09-29 | 2023-10-23 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-07-26 | 2023-08-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-06 | 2023-05-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-10 | 2023-03-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-10 | 2023-03-16 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-02-10 | 2023-03-16 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-02-10 | 2023-03-16 | 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 | 2023-02-10 | 2023-03-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-10 | 2023-03-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-10 | 2023-03-16 | 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 | 2023-02-10 | 2023-03-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-02-10 | 2023-03-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-10 | 2023-03-16 | N |
| 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 | 2023-02-10 | 2023-03-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-10 | 2023-03-16 | N |
| Post nurse staffing information every day. | Health | 2023-02-10 | 2023-03-16 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-02-10 | 2023-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-10 | 2023-03-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-10 | 2023-03-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-08 | 2023-03-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-08 | 2023-03-09 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-02-08 | 2023-03-09 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-02-08 | 2023-03-09 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-02-08 | 2023-03-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-08 | 2023-03-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-15 | 2022-10-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-29 | 2022-10-07 | 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 | 2022-09-09 | 2022-09-28 | Y |
| Keep all essential equipment working safely. | Health | 2022-09-09 | 2022-09-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-09 | 2022-03-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-25 | 2022-03-10 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-12 | 2019-10-07 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2019-09-12 | 2019-10-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-09-12 | 2019-10-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-12 | 2019-10-07 | 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 | 2019-09-12 | 2019-10-07 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-09-12 | 2019-10-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-09-12 | 2019-10-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-12 | 2019-10-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-09-12 | 2019-10-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-12 | 2019-10-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-12 | 2019-10-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-12 | 2019-10-07 | 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 | 2019-09-13 | 2019-10-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-13 | 2019-10-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-13 | 2019-10-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-13 | 2019-10-04 | 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 | 2019-09-13 | 2019-10-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-13 | 2019-10-04 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-09-13 | 2019-10-04 | 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 | 2019-09-13 | 2019-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-13 | 2019-10-04 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2019-09-13 | 2019-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-13 | 2019-10-04 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-09-13 | 2019-10-04 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-10-04 | 2018-11-14 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-10-04 | 2018-11-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-10-04 | 2018-11-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-10-04 | 2018-11-14 | 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 | 2018-10-04 | 2018-11-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-10-04 | 2018-11-14 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-10-04 | 2018-11-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-10-04 | 2018-11-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-04 | 2018-11-14 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-10-04 | 2018-11-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-04 | 2018-11-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-10-05 | 2018-11-08 | 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 | 2018-10-05 | 2018-11-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-05 | 2018-11-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-05 | 2018-11-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-05 | 2018-11-08 | 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 | 2018-10-05 | 2018-11-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-05 | 2018-11-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-05 | 2018-11-08 | 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 | 2018-10-05 | 2018-11-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-05 | 2018-11-08 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-10-05 | 2018-11-08 | N |
| Post nurse staffing information every day. | Health | 2018-10-05 | 2018-11-08 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-10-05 | 2018-11-08 | 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 | 2018-10-05 | 2018-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-05 | 2018-11-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-10-05 | 2018-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-07 | Not Fixed | N |
