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Deficiency Records for Sunset Rehabilitation and Hlth C

A list of the most recent deficiencies for Sunset Rehabilitation and Hlth C. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Sunset Rehabilitation and Hlth C. 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 appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-08-05 2024-08-23 Y
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 2024-08-05 2024-08-23 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-08-05 2024-08-23 Y
Ensure that residents are free from significant medication errors. Health 2024-08-05 2024-08-23 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2024-08-05 2024-08-06 Y
Keep residents' personal and medical records private and confidential. Health 2024-07-16 2024-08-01 Y
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 2024-07-16 2024-08-01 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-07-16 2024-08-01 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-07-16 2024-08-01 Y
Respond appropriately to all alleged violations. Health 2024-07-16 2024-08-01 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-12-01 2023-12-25 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-12-01 2023-12-25 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-12-01 2023-12-25 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-12-01 2023-12-25 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-12-01 2023-12-25 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-12-01 2023-12-25 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-01 2023-12-25 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-12-01 2023-12-25 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 2023-12-01 2023-12-25 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-12-01 2023-12-25 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-12-01 2023-12-25 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 2023-12-01 2023-12-25 N
Conduct testing and exercise requirements. Fire Safety 2023-12-05 2023-12-25 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-12-05 2023-12-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-05 2023-12-25 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-12-05 2023-12-25 N
Assess the resident when there is a significant change in condition Health 2023-10-29 2023-11-13 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-10-29 2023-11-13 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-10-29 2023-11-13 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-29 2023-11-13 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-05 2023-09-22 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-05 2023-09-22 Y
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. Health 2023-07-05 2023-07-19 Y
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 2023-01-10 2023-02-05 Y
Keep residents' personal and medical records private and confidential. Health 2022-10-20 2022-11-15 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-10-20 2022-11-15 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 2022-10-20 2022-11-15 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 2022-10-20 2022-11-15 N
Observe each nurse aide's job performance and give regular training. Health 2022-10-20 2022-11-15 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-10-20 2022-11-15 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 2022-10-20 2022-11-15 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-10-20 2022-11-15 N
Establish staff and initial training requirements. Fire Safety 2022-10-20 2022-11-15 N
Conduct testing and exercise requirements. Fire Safety 2022-10-20 2022-11-15 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-10-20 2022-11-15 N
Provide properly protected cooking facilities. Fire Safety 2022-10-20 2022-11-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-10-20 2022-11-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-20 2022-11-15 N
Have proper medical gas storage and administration areas. Fire Safety 2022-10-20 2022-11-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-12 2022-07-23 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-07-02 2022-07-18 Y
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 2022-07-02 2022-07-18 Y
Provide and implement an infection prevention and control program. Health 2022-05-25 2022-06-24 Y
Perform COVID19 testing on residents and staff. Health 2022-05-25 2022-06-24 Y
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2022-05-25 2022-06-24 Y
Ensure staff are vaccinated for COVID-19 Health 2022-05-25 2022-06-24 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-04-05 2022-04-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-05 2022-04-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-17 2022-03-25 Y
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2022-03-17 2022-03-25 Y
Ensure staff are vaccinated for COVID-19 Health 2022-03-17 2022-03-25 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-03-06 2022-03-15 Y
Respond appropriately to all alleged violations. Health 2022-03-06 2022-03-15 Y
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2021-11-01 2021-12-10 N
Establish methods for sharing information. Fire Safety 2021-11-01 2021-12-10 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-11-01 2021-12-10 N
Have restrictions on the use of portable space heaters. Fire Safety 2021-11-01 2021-12-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-11-01 2021-12-10 N
Have proper medical gas storage and administration areas. Fire Safety 2021-11-01 2021-12-10 N
Respond appropriately to all alleged violations. Health 2021-10-19 2021-11-01 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-09-24 2021-09-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-09-24 2021-09-30 N
Provide and implement an infection prevention and control program. Health 2021-09-24 2021-09-30 N

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