Deficiency Records for Sand Key Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Sand Key Health and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-01 | 2024-03-02 | 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 | 2024-02-01 | 2024-03-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-02-01 | 2024-03-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-01 | 2024-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-01 | 2024-03-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-01 | 2024-03-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-01 | 2024-03-02 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-02-01 | 2024-03-02 | 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 | 2024-02-01 | 2024-03-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-01 | 2024-03-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-01 | 2024-03-02 | 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 | 2024-02-01 | 2024-03-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-01 | 2024-03-02 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2024-02-01 | 2024-03-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-01 | 2024-03-02 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-02-01 | 2024-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-01 | 2024-03-02 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-30 | 2024-03-02 | 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 | 2024-01-30 | 2024-03-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-30 | 2024-03-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-30 | 2024-03-02 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-01-30 | 2024-03-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-31 | 2023-11-30 | Y |
| 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 | 2023-10-31 | 2023-11-30 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-27 | 2023-07-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-27 | 2023-07-27 | 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 | 2023-05-18 | 2023-05-30 | Y |
| Report COVID19 data to residents and families. | Health | 2023-02-15 | 2023-03-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-10 | 2022-02-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-13 | 2022-02-25 | 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 | 2021-12-10 | 2022-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-10 | 2022-01-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-09-18 | 2020-10-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-18 | 2020-10-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-18 | 2020-10-18 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-09-18 | 2020-10-18 | 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 | 2020-09-18 | 2020-10-18 | 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 | 2020-09-18 | 2020-10-18 | 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 | 2020-09-18 | 2020-10-18 | N |
| Keep all essential equipment working safely. | Health | 2020-09-18 | 2020-10-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-09-18 | 2020-10-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-09-16 | 2020-10-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-09-16 | 2020-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-16 | 2020-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-16 | 2020-10-18 | N |
