A list of the most recent deficiencies for Sunporch of Dodge City. 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 approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-18 | 2023-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-18 | 2023-05-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-18 | 2023-05-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-06-17 | 2021-07-09 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-06-17 | 2021-07-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-06-17 | 2021-07-09 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-06-17 | 2021-07-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-06-17 | 2021-07-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-17 | 2021-07-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-17 | 2021-07-09 | 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 | 2021-06-08 | 2021-07-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-08 | 2021-07-06 | 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 | 2021-06-08 | 2021-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-08 | 2021-07-06 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-06-08 | 2021-07-06 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-22 | 2019-11-08 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-08-22 | 2019-11-08 | N |
| Develop a communication plan. | Fire Safety | 2019-08-22 | 2019-11-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-08-22 | 2019-11-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-22 | 2019-11-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-22 | 2019-11-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-22 | 2019-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-22 | 2019-11-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-22 | 2019-11-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-22 | 2019-11-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-22 | 2019-11-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-22 | 2019-11-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-22 | 2019-10-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-08-22 | 2019-10-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-22 | 2019-10-03 | 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 | 2019-08-22 | 2019-10-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-22 | 2019-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-22 | 2019-10-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-22 | 2019-10-03 | 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 | 2019-08-22 | 2019-10-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-22 | 2019-10-03 | 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 | 2019-08-22 | 2019-10-03 | 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 | 2019-08-22 | 2019-10-03 | 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 | 2019-08-22 | 2019-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-22 | 2019-10-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-22 | 2019-10-03 | N |
