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Deficiency Records for Sunset Home Inc
View the most recent health deficiencies and inspection results for Sunset Home Inc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Sunset Home Inc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2025-03-26 | 2025-11-06 | N |
| Use approved construction type or materials. | Fire Safety | 2025-03-26 | 2025-11-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-03-26 | 2025-11-06 | 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 | 2025-03-26 | 2025-11-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-03-26 | 2025-11-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-03-26 | 2025-11-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-03-26 | 2025-10-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-03-26 | 2025-10-13 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-03-26 | 2025-10-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-26 | 2025-10-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-03-26 | 2025-10-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-26 | 2025-10-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-03-26 | 2025-10-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-03-26 | 2025-10-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-26 | 2025-06-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-26 | 2025-04-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-26 | 2025-04-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-26 | 2025-04-15 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2025-03-26 | 2025-04-15 | Y |
| 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 | 2025-03-26 | 2025-04-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-26 | 2025-04-15 | 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 | 2025-03-26 | 2025-04-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-26 | 2025-04-15 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-03-26 | 2025-04-15 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-03-26 | 2025-04-15 | Y |
| 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 | 2025-03-26 | 2025-04-15 | 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 | 2025-03-26 | 2025-04-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-26 | 2025-04-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-26 | 2025-04-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-16 | 2024-12-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-19 | 2023-11-03 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-11 | 2023-10-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-11 | 2023-10-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-11 | 2023-10-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-11 | 2023-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-11 | 2023-10-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-11 | 2023-10-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-11 | 2023-10-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-11 | 2023-10-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-11 | 2023-10-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-11 | 2023-10-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-11 | 2023-10-02 | 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 | 2023-07-31 | 2023-08-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-31 | 2023-08-31 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-07-31 | 2023-08-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-11 | 2023-08-17 | 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 | 2023-07-11 | 2023-08-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-11 | 2023-08-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-07-11 | 2023-08-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-07-11 | 2023-08-17 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-07-11 | 2023-08-17 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-07-11 | 2023-08-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-11 | 2023-08-17 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-07-11 | 2023-08-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-11 | 2023-08-17 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-07-11 | 2023-08-17 | 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 | 2023-07-11 | 2023-08-17 | 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 | 2023-07-11 | 2023-08-17 | 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 | 2023-07-11 | 2023-08-17 | 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 | 2023-07-11 | 2023-08-17 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-07-11 | 2023-08-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-01-10 | 2022-03-11 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-01-10 | 2022-03-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-01-10 | 2022-03-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-10 | 2022-03-11 | 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 | 2022-01-10 | 2022-03-11 | 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 | 2022-01-10 | 2022-03-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-10 | 2022-03-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-10 | 2022-03-11 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-01-10 | 2022-03-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-10 | 2022-03-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-10 | 2022-03-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-01-10 | 2022-03-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-10 | 2022-03-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-10 | 2022-03-11 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-01-10 | 2022-03-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-10 | 2022-03-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-10 | 2022-02-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-01-10 | 2022-02-04 | 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 | 2022-01-10 | 2022-02-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-10 | 2022-02-04 | 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 | 2022-01-10 | 2022-02-04 | 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 | 2022-01-10 | 2022-02-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-10 | 2022-02-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-10 | 2022-02-04 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-01-10 | 2022-02-04 | N |