Deficiency Records for Sycamore Heights Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Sycamore Heights Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-31 | 2021-04-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-31 | 2021-04-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-31 | 2021-04-24 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-03 | 2019-06-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-05 | 2019-05-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-04-05 | 2019-05-14 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-04-05 | 2019-05-14 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2019-04-05 | 2019-05-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-05 | 2019-05-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-05 | 2019-05-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-05 | 2019-05-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-05 | 2019-05-14 | 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 | 2019-04-05 | 2019-05-14 | N |
| Provide or obtain dental services for each resident. | Health | 2019-04-05 | 2019-05-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-05 | 2019-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-05 | 2019-05-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-03 | 2019-05-13 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-04-03 | 2019-05-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-03 | 2019-05-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-03 | 2019-05-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-01-19 | 2018-02-16 | 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 | 2018-01-19 | 2018-02-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-19 | 2018-02-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-19 | 2018-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-19 | 2018-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-19 | 2018-02-16 | N |
| Ensure that laboratories employing quantities of flammable, combustible, or hazardous materials have fire resistant walls and automatic sprinkler system. | Fire Safety | 2018-01-22 | 2018-02-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-22 | 2018-02-16 | 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 | 2016-11-29 | 2016-12-14 | N |
