A list of the most recent deficiencies for Sandstone Heights. 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 maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-12 | 2023-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-12 | 2023-07-31 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-07-12 | 2023-07-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-12 | 2023-07-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-12 | 2023-07-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-12 | 2023-07-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-12 | 2023-07-31 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-07-12 | 2023-07-31 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-06-15 | 2023-07-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-15 | 2023-07-20 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-06-15 | 2023-07-20 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-06-15 | 2023-07-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-15 | 2023-07-20 | 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 | 2023-06-15 | 2023-07-20 | 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 | 2023-06-15 | 2023-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-15 | 2023-07-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-15 | 2023-07-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-02 | 2021-12-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-02 | 2021-12-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-02 | 2021-12-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-02 | 2021-12-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-02 | 2021-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-04 | 2021-12-10 | 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 | 2021-11-04 | 2021-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2021-12-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-11-04 | 2021-12-10 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-11-04 | 2021-12-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-13 | 2019-12-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-13 | 2019-12-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-13 | 2019-12-06 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-11-13 | 2019-12-06 | N |
