Deficiency Records for Sachem Center For Health and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Sachem Center For 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? |
|---|---|---|---|---|
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-04-20 | 2022-05-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-20 | 2022-05-25 | 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 | 2022-04-20 | 2022-05-25 | 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 | 2022-04-20 | 2022-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-20 | 2022-05-25 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-04-20 | 2022-05-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-20 | 2022-05-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-20 | 2022-05-16 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-04-13 | 2021-05-03 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-07-25 | 2019-09-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-07-25 | 2019-09-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-25 | 2019-09-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-07-25 | 2019-09-13 | 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 | 2019-07-25 | 2019-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-25 | 2019-09-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-07-25 | 2019-09-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-25 | 2019-09-13 | 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 | 2019-07-25 | 2019-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-25 | 2019-09-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-27 | 2018-06-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-27 | 2018-06-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-27 | 2018-06-11 | 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 | 2018-04-27 | 2018-06-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-27 | 2018-06-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-27 | 2018-06-11 | 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 | 2018-04-27 | 2018-06-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-27 | 2018-06-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-27 | 2018-06-11 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-04-27 | 2018-06-11 | 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 | 2018-04-27 | 2018-06-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-27 | 2018-06-11 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-04-27 | 2018-06-11 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-04-27 | 2018-06-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-04-27 | 2018-06-11 | N |
