Deficiency Records for Rehabilitation Center at Sandalwood,the
Updated as of March 01, 2024
A list of the most recent deficiencies for Rehabilitation Center at Sandalwood,the. 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? |
---|---|---|---|---|
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-31 | 2024-03-05 | Y |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-03 | 2023-03-02 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-03 | 2023-03-01 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-11 | 2023-02-24 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-11 | 2023-02-24 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-11 | 2023-02-24 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-11 | 2023-02-24 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-11 | 2023-02-24 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-11 | 2023-02-24 | N |
Provide and implement an infection prevention and control program. | Health | 2023-01-11 | 2023-02-24 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-01-11 | 2023-02-24 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-11 | 2023-02-24 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-08 | 2021-11-14 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2021-10-08 | 2021-11-06 | N |
Provide and implement an infection prevention and control program. | Health | 2021-09-21 | 2021-11-04 | 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 | 2021-09-21 | 2021-10-28 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-21 | 2021-10-28 | 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 | 2021-09-21 | 2021-10-28 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-21 | 2021-10-20 | N |
Install proper backup exit lighting. | Fire Safety | 2019-08-13 | 2019-09-18 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-08-13 | 2019-09-11 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-13 | 2019-09-11 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-07-23 | 2019-08-26 | N |
Respond appropriately to all alleged violations. | Health | 2019-07-23 | 2019-08-26 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-23 | 2019-08-26 | 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 | 2019-07-23 | 2019-08-26 | 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 | 2019-07-23 | 2019-08-26 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-23 | 2019-08-26 | N |