Deficiency Records for Sunny Acres Skilled Nursing and Rehabilitation Ctr
Updated as of April 01, 2024
A list of the most recent deficiencies for Sunny Acres Skilled Nursing and Rehabilitation Ctr. 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 be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-03-15 | 2023-05-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-27 | 2023-04-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-02-27 | 2023-04-12 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-02-27 | 2023-04-12 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-02-27 | 2023-04-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-27 | 2023-04-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-27 | 2023-04-12 | 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 | 2023-02-27 | 2023-04-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-27 | 2023-04-12 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-02-27 | 2023-04-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-27 | 2023-04-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-27 | 2023-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-27 | 2023-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-27 | 2023-04-12 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-02-27 | 2023-04-12 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-27 | 2023-04-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-11 | 2022-09-12 | Y |
| 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 | 2022-08-11 | 2022-09-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-11 | 2022-09-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-15 | 2022-07-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-17 | 2022-02-22 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-09-07 | 2021-09-24 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-06-16 | 2021-08-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-16 | 2021-08-20 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-06-16 | 2021-08-20 | 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 | 2021-06-16 | 2021-08-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-16 | 2021-08-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-06-16 | 2021-08-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-16 | 2021-08-20 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-05-13 | 2021-06-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-13 | 2021-06-16 | N |
| Respond appropriately to all alleged violations. | Health | 2021-05-13 | 2021-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-13 | 2021-06-16 | 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 | 2021-05-13 | 2021-06-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-13 | 2021-06-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-22 | 2019-10-06 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-22 | 2019-10-06 | 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 | 2019-08-22 | 2019-10-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-22 | 2019-10-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-22 | 2019-10-06 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-08-22 | 2019-10-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-22 | 2019-10-06 | 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 | 2019-08-22 | 2019-10-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-22 | 2019-09-20 | N |
