A list of the most recent deficiencies for Sunny Ridge. 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-02-10 | 2023-03-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-10 | 2023-03-24 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-10 | 2023-03-24 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-02-10 | 2023-03-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-10 | 2023-03-24 | Y |
| Provide appropriate foot care. | Health | 2023-02-10 | 2023-03-24 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-02-10 | 2023-03-24 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2019-05-24 | 2019-06-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-05-24 | 2019-06-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-24 | 2019-06-21 | N |
| 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 | 2019-05-24 | 2019-06-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-05-24 | 2019-06-21 | N |
| Post nurse staffing information every day. | Health | 2019-05-24 | 2019-06-21 | 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 | 2019-05-24 | 2019-06-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-05-24 | 2019-06-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-11-08 | 2018-12-18 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-11-08 | 2018-12-17 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-11-08 | 2018-12-17 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-11-08 | 2018-12-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-11-08 | 2018-12-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-08 | 2018-12-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-11-08 | 2018-12-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-11-08 | 2018-11-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-02-23 | 2018-03-20 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-02-23 | 2018-03-20 | 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 | 2018-02-23 | 2018-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-23 | 2018-03-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-02-23 | 2018-03-20 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-02-23 | 2018-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-23 | 2018-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-23 | 2018-03-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-31 | 2017-10-30 | N |
