Deficiency Records for Sandy Springs Center For Nursing and Healing LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Sandy Springs Center For Nursing and Healing LLC. 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? |
|---|---|---|---|---|
| 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 | 2023-05-07 | 2023-06-19 | 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 | 2023-05-07 | 2023-06-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-07 | 2023-06-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-07 | 2023-06-19 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-05-07 | 2023-06-19 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-07 | 2023-06-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-07 | 2023-06-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-07 | 2023-06-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-07 | 2023-06-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-07 | 2023-06-19 | 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 | 2023-05-07 | 2023-06-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-07 | 2023-06-19 | Y |
| 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 | 2023-05-07 | 2023-06-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-07 | 2023-06-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-07 | 2023-06-19 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-07 | 2023-06-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-07 | 2023-06-19 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-23 | 2023-06-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-23 | 2023-06-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-23 | 2023-06-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-02 | 2022-03-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-02 | 2022-03-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-02 | 2022-03-19 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-02-02 | 2022-03-19 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-10-22 | 2021-11-30 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-10-22 | 2021-11-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-22 | 2021-11-30 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-10-22 | 2021-11-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-22 | 2021-11-30 | Y |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-10-22 | 2018-12-27 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-25 | 2018-12-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-25 | 2018-12-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-25 | 2018-12-09 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-10-25 | 2018-12-09 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2018-10-25 | 2018-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-25 | 2018-12-09 | N |
| Keep all essential equipment working safely. | Health | 2018-10-25 | 2018-12-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-22 | 2018-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-22 | 2018-12-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-22 | 2018-12-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-22 | 2018-12-09 | N |
