A list of the most recent deficiencies for Sacred Heart Nursing Home. 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? |
|---|---|---|---|---|
| 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 | 2023-03-31 | 2023-05-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-31 | 2023-05-05 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-31 | 2023-05-05 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-03-31 | 2023-05-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-31 | 2023-05-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-31 | 2023-05-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-31 | 2023-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-05 | 2022-01-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-30 | 2019-12-12 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-10-30 | 2019-12-12 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-10-30 | 2019-12-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-30 | 2019-12-12 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-10-30 | 2019-12-12 | 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 | 2019-10-30 | 2019-12-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-30 | 2019-12-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-30 | 2019-12-12 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-10-30 | 2019-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-30 | 2019-12-12 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-10-30 | 2019-12-12 | 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 | 2018-11-21 | 2019-01-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-11-21 | 2019-01-01 | 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 | 2018-11-21 | 2019-01-01 | N |
