Deficiency Records for Sandpiper Healthcare and Rehabilitation Center
Updated as of July 01, 2021
This is not the most recent data for Sandpiper Healthcare and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Sandpiper Healthcare and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2021-03-11 | 2021-04-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-03-11 | 2021-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-11 | 2021-04-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-03-11 | 2021-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-11 | 2021-04-15 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2021-03-11 | 2021-04-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-03-11 | 2021-04-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-11 | 2021-04-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-11 | 2021-04-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-03-11 | 2021-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-11 | 2021-04-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-11 | 2021-04-15 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-02-04 | 2021-02-26 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-02-04 | 2021-02-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-04 | 2021-02-26 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-02-04 | 2021-02-26 | Y |
| 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 | 2021-02-04 | 2021-02-26 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-02-04 | 2021-02-26 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-04 | 2021-02-26 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-02-04 | 2021-02-26 | Y |
| 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 | 2021-02-04 | 2021-02-26 | Y |
| 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 | 2021-02-04 | 2021-02-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-04 | 2021-02-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-02-04 | 2021-02-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-05-18 | 2020-05-18 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-05-18 | 2020-05-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-25 | 2019-10-01 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-07-15 | 2019-08-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-15 | 2019-08-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-07-15 | 2019-08-05 | 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 | 2019-07-15 | 2019-08-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-15 | 2019-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-15 | 2019-08-05 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-15 | 2019-08-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-15 | 2019-08-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-07-15 | 2019-08-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-07 | 2019-03-07 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-11-06 | 2018-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-06 | 2018-12-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-11-06 | 2018-11-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-06 | 2018-11-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-06 | 2018-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-06 | 2018-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-06 | 2018-11-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-11-06 | 2018-11-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-11-06 | 2018-11-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-11-06 | 2018-11-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-22 | 2018-11-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-10-22 | 2018-11-15 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2018-11-06 | 2018-11-12 | 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 | 2018-11-06 | 2018-11-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-06 | 2018-11-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-30 | 2018-09-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-30 | 2018-09-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-30 | 2018-09-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-08-30 | 2018-09-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-21 | 2018-07-13 | 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 | 2018-06-21 | 2018-07-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-06-21 | 2018-07-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-21 | 2018-07-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-21 | 2018-07-13 | N |
| Provide activities to meet all resident's needs. | Health | 2018-06-21 | 2018-07-13 | 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 | 2018-06-21 | 2018-07-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-21 | 2018-07-13 | N |
| Use approved construction type or materials. | Fire Safety | 2017-07-21 | 2017-08-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-21 | 2017-08-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-07-21 | 2017-08-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-07-21 | 2017-08-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-07-21 | 2017-08-07 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2017-07-21 | 2017-08-07 | N |
