Deficiency Records for Pinnacle Health and Rehab at Sanford
Updated as of March 01, 2024
A list of the most recent deficiencies for Pinnacle Health and Rehab at Sanford. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-16 | 2024-01-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-16 | 2024-01-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-11-16 | 2024-01-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-16 | 2024-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-16 | 2024-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-16 | 2024-01-03 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2023-11-16 | 2024-01-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-16 | 2024-01-03 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-11-16 | 2024-01-03 | 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 | 2023-11-15 | 2023-12-01 | 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 | 2023-11-15 | 2023-12-01 | Y |
| 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 | 2022-03-02 | 2022-04-12 | N |
| 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 | 2022-03-02 | 2022-04-12 | 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 | 2022-03-02 | 2022-04-12 | 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 | 2022-02-28 | 2022-03-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-20 | 2021-10-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-19 | 2019-10-18 | 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 | 2019-09-19 | 2019-10-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-19 | 2019-10-18 | N |
