A list of the most recent deficiencies for Sunnycrest Manor. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-30 | 2023-09-28 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-19 | 2023-01-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-19 | 2023-01-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2023-01-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-15 | 2023-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-15 | 2023-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-15 | 2023-01-12 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-12-19 | 2023-01-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-19 | 2023-01-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-19 | 2022-12-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-12-19 | 2022-12-19 | 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 | 2022-12-19 | 2022-12-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-19 | 2022-12-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-19 | 2022-12-19 | 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 | 2021-05-27 | 2021-06-18 | 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 | 2021-05-20 | 2021-06-15 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-05-27 | 2021-06-14 | N |
| 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 | 2021-05-20 | 2021-06-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-27 | 2021-06-10 | 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 | 2021-05-20 | 2021-06-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-27 | 2021-06-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-27 | 2021-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-27 | 2021-05-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-27 | 2021-05-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-07-11 | 2019-08-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-11 | 2019-08-11 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-07-11 | 2019-08-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-11 | 2019-08-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-11 | 2019-08-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-11 | 2019-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-11 | 2019-08-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-18 | 2019-08-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-07-18 | 2019-07-29 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-07-18 | 2019-07-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-07-18 | 2019-07-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-18 | 2019-07-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-18 | 2019-07-22 | 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 | 2019-07-18 | 2019-07-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-18 | 2019-07-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-18 | 2019-07-18 | N |
