Deficiency Records for Sadie G. Mays Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Sadie G. Mays 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-19 | 2022-10-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-19 | 2022-10-03 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-19 | 2022-10-03 | 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 | 2022-08-19 | 2022-10-03 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-16 | 2022-10-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-16 | 2022-10-03 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-08-16 | 2022-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-16 | 2022-10-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-16 | 2022-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-16 | 2022-10-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-19 | 2019-06-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-19 | 2019-06-03 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-04-19 | 2019-06-03 | 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 | 2019-04-19 | 2019-06-03 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-04-19 | 2019-06-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-19 | 2019-06-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-19 | 2019-06-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-19 | 2019-06-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-19 | 2019-06-03 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-04-19 | 2019-06-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-19 | 2019-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-19 | 2019-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-19 | 2019-06-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-04 | 2019-06-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-04 | 2019-06-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-01 | 2018-04-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-01 | 2018-04-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-01 | 2018-04-15 | 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 | 2018-03-01 | 2018-04-15 | 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 | 2018-03-01 | 2018-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-26 | 2018-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-26 | 2018-04-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-02-26 | 2018-04-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-02-26 | 2018-04-15 | N |
