A list of the most recent deficiencies for Sycamore Care Strategies. 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 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 | 2024-01-04 | 2024-01-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-08 | 2023-01-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-08 | 2023-01-11 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-06-17 | 2022-07-17 | 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 | 2022-06-17 | 2022-07-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-17 | 2022-07-17 | N |
| Provide activities to meet all resident's needs. | Health | 2021-10-01 | 2021-10-25 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-28 | 2021-05-28 | 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 | 2021-04-22 | 2021-05-22 | 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 | 2021-04-22 | 2021-05-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-22 | 2021-05-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-22 | 2021-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-22 | 2021-05-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-28 | 2021-05-17 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-04-28 | 2021-05-17 | N |
| Develop a communication plan. | Fire Safety | 2021-04-28 | 2021-05-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-04-28 | 2021-05-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-04-28 | 2021-05-17 | N |
| Meet other general requirements. | Fire Safety | 2021-04-28 | 2021-05-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-28 | 2021-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-28 | 2021-05-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-28 | 2021-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-28 | 2019-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-28 | 2019-06-25 | N |
| Have an externally vented heating system. | Fire Safety | 2019-05-28 | 2019-06-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-28 | 2019-06-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-28 | 2019-06-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-18 | 2019-05-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-18 | 2019-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-18 | 2019-05-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-18 | 2019-05-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-18 | 2019-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-05-13 | N |
