Deficiency Records for Sullivan Rehab and Hlth Care Ctr
Updated as of February 01, 2021
This is not the most recent data for Sullivan Rehab and Hlth Care Ctr. For the most recent information, click here.
A list of the most recent deficiencies for Sullivan Rehab and Hlth Care Ctr. 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-24 | 2020-01-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-30 | 2019-11-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-30 | 2019-11-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-10-30 | 2019-11-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-08 | 2019-10-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-08 | 2019-10-30 | N |
| Have enough space near smoke barriers to protect residents. | Fire Safety | 2019-10-08 | 2019-10-30 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-10-11 | 2019-10-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-07-10 | 2019-07-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-31 | 2018-11-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-26 | 2018-10-12 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2018-09-26 | 2018-10-12 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2018-08-28 | 2018-09-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-08-28 | 2018-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-28 | 2018-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-28 | 2018-09-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-28 | 2018-09-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-24 | 2018-09-10 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-08-24 | 2018-09-10 | 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 | 2018-08-24 | 2018-09-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-08-24 | 2018-09-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-08-24 | 2018-09-10 | 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 | 2018-08-24 | 2018-09-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-24 | 2018-09-10 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-08-24 | 2018-09-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-24 | 2018-09-10 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-08-24 | 2018-09-10 | 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 | 2018-08-24 | 2018-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-24 | 2018-09-10 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-08-24 | 2018-09-10 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-08-24 | 2018-09-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-08-24 | 2018-09-10 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-09-29 | 2017-10-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-29 | 2017-10-19 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-09-29 | 2017-10-19 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-09-29 | 2017-10-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-09-29 | 2017-10-19 | N |
| Use approved construction type or materials. | Fire Safety | 2017-09-28 | 2017-10-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-09-28 | 2017-10-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-09-28 | 2017-10-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-09-28 | 2017-10-13 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-29 | 2017-10-11 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-09-29 | 2017-10-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-09-28 | 2017-10-10 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2017-09-28 | 2017-09-28 | N |
