Deficiency Records for Sandgate Gardens Rehab and Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Sandgate Gardens Rehab and Nursing 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 and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-12-21 | 2024-01-21 | 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 | 2023-12-21 | 2024-01-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-21 | 2024-01-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-21 | 2024-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-01-21 | N |
| 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 | 2023-12-21 | 2024-01-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-21 | 2024-01-21 | 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 | 2023-12-21 | 2024-01-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-21 | 2024-01-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-21 | 2024-01-21 | 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 | 2023-12-21 | 2024-01-21 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-12-21 | 2024-01-21 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-12-21 | 2024-01-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-12-21 | 2024-01-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-31 | 2023-09-25 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-25 | 2023-06-14 | 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 | 2023-01-10 | 2023-02-10 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-12 | 2022-10-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-12 | 2022-10-05 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-09-12 | 2022-10-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-25 | 2022-09-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-25 | 2022-09-24 | 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 | 2022-08-25 | 2022-09-24 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-08-25 | 2022-09-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-25 | 2022-09-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-25 | 2022-09-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-25 | 2022-09-24 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-08-25 | 2022-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-25 | 2022-09-24 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-25 | 2022-09-24 | 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 | 2022-08-25 | 2022-09-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-02 | 2021-10-02 | 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 | 2021-09-02 | 2021-10-02 | N |
| 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 | 2021-09-02 | 2021-10-02 | N |
| Post nurse staffing information every day. | Health | 2021-09-02 | 2021-10-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-02 | 2021-10-02 | 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 | 2021-09-02 | 2021-10-02 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-09-02 | 2021-10-02 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-09-02 | 2021-10-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-02 | 2021-10-02 | N |
| Dispose of garbage and refuse properly. | Health | 2021-09-02 | 2021-10-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-02 | 2021-10-02 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-09-02 | 2021-10-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-13 | 2021-06-12 | Y |
