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Deficiency Records for Envive of Sullivan
View the most recent health deficiencies and inspection results for Envive of Sullivan. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Envive of Sullivan. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-06-02 | 2026-04-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-09-29 | 2025-11-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-29 | 2025-11-23 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-06-02 | 2025-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-02 | 2025-06-30 | 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 | 2025-06-02 | 2025-06-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-06-02 | 2025-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-02 | 2025-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-02 | 2025-06-30 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-06-02 | 2025-06-30 | 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 | 2025-06-02 | 2025-06-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-31 | 2025-02-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-01-31 | 2025-02-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-12-20 | 2025-01-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-19 | 2024-10-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-19 | 2024-05-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-19 | 2024-05-12 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-04-19 | 2024-05-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-19 | 2024-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-19 | 2024-05-09 | 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 | 2024-04-19 | 2024-05-09 | N |
| Post nurse staffing information every day. | Health | 2024-04-19 | 2024-05-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-19 | 2024-05-09 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-11-30 | 2023-12-21 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-10-25 | 2023-11-23 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-10-25 | 2023-11-23 | Y |
| 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 | 2023-10-12 | 2023-11-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-28 | 2023-03-28 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-28 | 2023-03-28 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-02-28 | 2023-03-28 | N |
| Provide activities to meet all resident's needs. | Health | 2023-02-28 | 2023-03-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-28 | 2023-03-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-28 | 2023-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-28 | 2023-03-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-28 | 2023-03-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-28 | 2023-03-22 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-02-28 | 2023-03-22 | N |
| Develop a communication plan. | Fire Safety | 2023-02-28 | 2023-03-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-02-28 | 2023-03-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-28 | 2023-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-28 | 2023-03-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-02-28 | 2023-03-16 | N |