Deficiency Records for Sandrock Ridge Care and Rehabilitation
Updated as of November 01, 2021
This is not the most recent data for Sandrock Ridge Care and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Sandrock Ridge Care and Rehabilitation. 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 | 2021-03-25 | 2021-06-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-25 | 2021-06-03 | N |
| Respond appropriately to all alleged violations. | Health | 2021-03-25 | 2021-06-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-03-25 | 2021-06-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-08 | 2021-05-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-08 | 2021-04-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-08 | 2021-04-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-08 | 2021-04-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-08 | 2021-04-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-08 | 2021-04-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-08 | 2021-04-20 | 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 | 2021-04-08 | 2021-04-20 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-04-08 | 2021-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-08 | 2021-04-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-08 | 2021-04-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-08 | 2021-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-08 | 2021-04-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-03-25 | 2021-03-26 | N |
| Provide activities to meet all resident's needs. | Health | 2021-03-25 | 2021-03-26 | 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 | 2021-03-25 | 2021-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-25 | 2021-03-26 | N |
| 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 | 2021-03-25 | 2021-03-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-01-07 | 2021-02-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-18 | 2020-12-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-08-05 | 2020-08-31 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-08-05 | 2020-08-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-04-30 | 2020-05-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-21 | 2019-05-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-21 | 2019-05-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-21 | 2019-04-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-21 | 2019-04-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-21 | 2019-04-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-21 | 2019-03-26 | 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 | 2019-02-21 | 2019-03-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-21 | 2019-03-26 | 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 | 2019-02-21 | 2019-03-26 | N |
| 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 | 2019-02-21 | 2019-03-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-21 | 2019-03-26 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-09-20 | 2017-10-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-09-20 | 2017-10-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-09-20 | 2017-10-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-09-20 | 2017-10-11 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2017-09-20 | 2017-10-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-31 | 2017-10-09 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-31 | 2017-10-05 | 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 | 2017-09-20 | 2017-10-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-09-20 | 2017-10-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-09-20 | 2017-10-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-20 | 2017-10-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-20 | 2017-10-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-09-20 | 2017-10-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-09-20 | 2017-10-05 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-31 | 2017-10-04 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-08-31 | 2017-10-04 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-08-31 | 2017-10-04 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-08-31 | 2017-10-04 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-08-31 | 2017-10-04 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-08-31 | 2017-10-04 | N |
