A list of the most recent deficiencies for Sunny Knoll Care Centre. 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-21 | 2023-09-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-21 | 2023-08-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-21 | 2023-08-08 | N |
| Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist. | Health | 2023-06-21 | 2023-08-08 | 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 | 2023-06-21 | 2023-08-08 | 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 | 2023-06-21 | 2023-08-08 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-06-21 | 2023-08-08 | N |
| 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 | 2023-06-21 | 2023-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-21 | 2023-08-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-21 | 2023-08-08 | N |
| Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Health | 2023-06-21 | 2023-08-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-21 | 2023-08-08 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-06-21 | 2023-08-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-21 | 2023-08-08 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-21 | 2023-08-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-21 | 2023-08-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-21 | 2023-08-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-21 | 2023-08-08 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-06-21 | 2023-08-08 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2023-06-19 | 2023-06-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-19 | 2023-06-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-06-19 | 2023-06-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-19 | 2023-06-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-19 | 2023-06-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-19 | 2023-06-22 | 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 | 2022-03-08 | 2022-04-06 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-03-08 | 2022-04-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-08 | 2022-04-06 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-08 | 2022-04-06 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-08 | 2022-04-06 | 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 | 2022-03-08 | 2022-04-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-08 | 2022-04-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-08 | 2022-04-06 | Y |
| 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 | 2022-03-08 | 2022-04-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-08 | 2022-04-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-08 | 2022-04-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-08 | 2022-04-06 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-03-08 | 2022-04-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-08 | 2022-04-06 | Y |
| Provide a bathroom in or located near each resident?s room. | Health | 2022-03-08 | 2022-04-06 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-23 | 2022-03-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-02-23 | 2022-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-23 | 2022-03-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-02-23 | 2022-03-22 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-02-23 | 2022-03-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-02-23 | 2022-03-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-02-23 | 2022-03-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-23 | 2022-03-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-23 | 2022-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-23 | 2022-03-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-23 | 2022-02-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-09 | 2021-10-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-09 | 2021-10-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-09 | 2021-10-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-09 | 2021-10-05 | 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 | 2021-09-09 | 2021-10-05 | Y |
| 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 | 2021-09-09 | 2021-10-05 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-09 | 2021-10-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-14 | 2019-12-14 | N |
| 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 | 2019-11-14 | 2019-12-14 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-11-14 | 2019-12-14 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-11-14 | 2019-12-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-11-14 | 2019-12-14 | 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 | 2019-11-14 | 2019-12-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-14 | 2019-12-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-14 | 2019-12-14 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-11-14 | 2019-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-14 | 2019-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-14 | 2019-12-14 | 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 | 2019-11-14 | 2019-12-14 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-18 | 2019-12-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-18 | 2019-12-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-18 | 2019-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-18 | 2019-12-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-18 | 2019-12-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-18 | 2019-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-18 | 2019-11-19 | N |
