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Deficiency Records for Sunray Healthcare Center
View the most recent health deficiencies and inspection results for Sunray Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Sunray Healthcare Center. Stay informed about quality of care issues.
| 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 | 2026-01-08 | 2026-02-09 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2026-01-08 | 2026-02-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-08 | 2026-02-09 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2026-01-15 | 2026-02-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-01-15 | 2026-02-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-18 | 2025-12-18 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-11-18 | 2025-12-18 | 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 | 2025-11-18 | 2025-12-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-11-18 | 2025-12-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-11-18 | 2025-12-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-11-18 | 2025-12-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-11-18 | 2025-12-18 | 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 | 2025-11-18 | 2025-12-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-11-18 | 2025-12-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-18 | 2025-12-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-11-18 | 2025-12-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-11-18 | 2025-12-10 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2025-11-18 | 2025-12-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-11-18 | 2025-12-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-11-18 | 2025-12-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-11-18 | 2025-12-10 | N |
| 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 | 2025-07-28 | 2025-08-26 | Y |
| 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 | 2025-07-07 | 2025-07-17 | 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 | 2025-07-07 | 2025-07-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-04-24 | 2025-05-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-04-24 | 2025-05-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-04-24 | 2025-05-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-24 | 2025-05-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-24 | 2025-05-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-24 | 2025-05-17 | 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 | 2025-04-24 | 2025-05-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-04-24 | 2025-05-17 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-04-24 | 2025-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-24 | 2025-05-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-24 | 2025-05-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-04-24 | 2025-05-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-24 | 2025-05-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-04-24 | 2025-05-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-04-24 | 2025-05-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-24 | 2025-05-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-04-24 | 2025-05-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-24 | 2025-05-16 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-04-24 | 2025-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-20 | 2025-04-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-04 | 2025-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-30 | 2025-02-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-15 | 2025-01-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-12-19 | 2024-12-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-12-19 | 2024-12-27 | 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 | 2024-12-03 | 2024-12-06 | Y |
| 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 | 2024-11-01 | 2024-12-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-01 | 2024-12-01 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-11-01 | 2024-12-01 | N |
| 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 | 2024-11-01 | 2024-12-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-11-01 | 2024-12-01 | 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 | 2024-11-01 | 2024-12-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-01 | 2024-12-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-11-01 | 2024-12-01 | 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 | 2024-11-01 | 2024-12-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-01 | 2024-12-01 | 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 | 2024-11-01 | 2024-12-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-01 | 2024-12-01 | 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 | 2024-11-01 | 2024-12-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-01 | 2024-12-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-01 | 2024-12-01 | 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 | 2024-11-01 | 2024-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-01 | 2024-12-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-11-01 | 2024-12-01 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-11-01 | 2024-12-01 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-11-01 | 2024-11-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-11-01 | 2024-11-22 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-11-01 | 2024-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-01 | 2024-11-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-11-01 | 2024-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-01 | 2024-11-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-01 | 2024-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-19 | 2024-09-30 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-19 | 2024-09-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-21 | 2024-08-30 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-08-21 | 2024-08-30 | 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 | 2024-08-07 | 2024-08-22 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-07-23 | 2024-08-08 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-07-18 | 2024-08-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-09 | 2024-07-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-09 | 2024-07-24 | Y |
| Post nurse staffing information every day. | Health | 2024-06-24 | 2024-07-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-21 | 2024-07-19 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2024-06-25 | 2024-07-18 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-06-25 | 2024-07-11 | 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 | 2024-05-23 | 2024-06-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-23 | 2024-06-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-16 | 2024-05-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-13 | 2024-04-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-29 | 2024-04-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-29 | 2024-04-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-12 | 2024-03-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-02 | 2024-02-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-02 | 2024-02-08 | Y |
| 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 | 2024-02-02 | 2024-02-08 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-12-02 | 2024-02-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-24 | 2024-02-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-11 | 2024-02-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-11 | 2024-02-08 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-12-19 | 2024-01-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-02 | 2024-01-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-23 | 2024-01-03 | 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 | 2023-11-22 | 2023-12-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-10 | 2023-10-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-11 | 2023-10-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-11 | 2023-10-31 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-10-10 | 2023-10-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-14 | 2023-09-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-14 | 2023-09-11 | Y |