Deficiency Records for Sunset Lake Healthcare and Rehabilitation Center
Updated as of September 01, 2020
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? |
|---|---|---|---|---|
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-10-10 | 2019-11-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-10 | 2019-11-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-10 | 2019-11-09 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-10-10 | 2019-11-09 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-10-10 | 2019-11-09 | 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 | 2019-10-10 | 2019-11-09 | 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 | 2019-10-10 | 2019-11-09 | N |
| 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 and maintain the bed rail. | 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 necessary and PRN use is limited. | 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 |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-11 | 2017-11-06 | Y |
| 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 |
| 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 |
