Deficiency Records for Sunset Lake Healthcare and Rehabilitation Center
Updated as of September 01, 2019
This is not the most recent data for Sunset Lake Healthcare and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Sunset Lake Healthcare 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? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-27 | 2018-12-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-27 | 2018-10-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-27 | 2018-10-27 | 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 | 2018-09-27 | 2018-10-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-09-27 | 2018-10-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-27 | 2018-10-27 | 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 | 2018-09-27 | 2018-10-27 | 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 | Health | 2018-09-27 | 2018-10-27 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-09-27 | 2018-10-27 | 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 | 2018-09-27 | 2018-10-27 | 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 ne | Health | 2018-09-27 | 2018-10-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-09-27 | 2018-10-27 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-10-19 | 2017-11-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-19 | 2017-11-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-11 | 2017-11-06 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-07-11 | 2017-08-11 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-07-11 | 2017-08-11 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-11 | 2017-08-11 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-07-11 | 2017-08-11 | Y |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-08-03 | 2016-09-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-08-04 | 2016-09-04 | N |
| Provide housekeeping and maintenance services. | Health | 2016-08-04 | 2016-09-04 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-08-04 | 2016-09-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-08-04 | 2016-09-04 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-08-04 | 2016-09-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-08-04 | 2016-09-04 | N |
