Deficiency Records for Sandrock Ridge Care and Rehabilitation
Updated as of March 01, 2024
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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-11 | 2023-07-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-11 | 2023-07-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-11 | 2023-07-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-07-11 | 2023-07-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-15 | 2023-07-20 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-11 | 2023-07-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-11 | 2023-07-19 | 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 | 2023-07-11 | 2023-07-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-06-15 | 2023-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-15 | 2023-07-07 | 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 | 2023-06-15 | 2023-07-07 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-06-15 | 2023-07-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-15 | 2023-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-15 | 2023-07-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-06 | 2022-11-10 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-10-06 | 2022-11-10 | Y |
| 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 | 2022-05-11 | 2022-06-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-11 | 2022-06-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-11 | 2022-06-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-11 | 2022-06-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-21 | 2022-05-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-04-21 | 2022-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-05-20 | N |
| Provide activities to meet all resident's needs. | Health | 2022-04-21 | 2022-05-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-21 | 2022-05-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-21 | 2022-05-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-21 | 2022-05-19 | 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 | 2022-04-21 | 2022-05-19 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-04-21 | 2022-05-19 | 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 | 2022-04-21 | 2022-05-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-21 | 2022-05-19 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-04-21 | 2022-05-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-04-21 | 2022-05-19 | N |
| 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 |
