Deficiency Records for Sullivan Rehab and Hlth Care Ctr
Updated as of November 01, 2022
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? |
|---|---|---|---|---|
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-05 | 2022-10-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-02 | 2022-09-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-02 | 2022-09-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-02 | 2022-09-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-04 | 2022-01-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-18 | 2021-12-01 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-06-25 | 2021-07-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-06-25 | 2021-07-12 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-06-25 | 2021-07-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-25 | 2021-07-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-06-25 | 2021-07-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-06-17 | 2021-07-05 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-06-17 | 2021-07-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-06-25 | 2021-06-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-06-25 | 2021-06-28 | 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 | 2021-06-25 | 2021-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-25 | 2021-06-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-17 | 2021-06-26 | N |
| Provide or obtain dental services for each resident. | Health | 2021-06-17 | 2021-06-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-06-17 | 2021-06-25 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-06-17 | 2021-06-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-17 | 2021-06-25 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-06-17 | 2021-06-25 | 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 | 2021-06-17 | 2021-06-25 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-06-17 | 2021-06-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-17 | 2021-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-17 | 2021-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-17 | 2021-06-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-02-04 | 2021-02-15 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2021-02-04 | 2021-02-15 | Y |
| 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 |
| 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 |
