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Deficiency Records for Sudbury Pines Extended Care
View the most recent health deficiencies and inspection results for Sudbury Pines Extended Care. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Sudbury Pines Extended Care. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-06-10 | 2025-07-18 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-06 | 2025-04-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-03-06 | 2025-04-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-06 | 2025-04-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-06 | 2025-04-20 | N |
| Respond appropriately to all alleged violations. | Health | 2025-03-06 | 2025-04-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-06 | 2025-04-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-06 | 2025-04-20 | 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 | 2025-03-06 | 2025-04-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-06 | 2025-04-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-06 | 2025-04-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-06 | 2025-04-20 | 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 | 2025-03-06 | 2025-04-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-06 | 2025-04-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-03-06 | 2025-04-20 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-03-06 | 2025-04-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-03-06 | 2025-04-20 | 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 | 2025-03-06 | 2025-04-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-03-06 | 2025-04-20 | 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 (including nights and weekends) and emergencies. | Health | 2025-03-06 | 2025-04-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-06 | 2025-04-20 | 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 | 2025-03-06 | 2025-04-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-03-06 | 2025-04-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-06 | 2025-04-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-06 | 2025-04-20 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-03-06 | 2025-04-20 | 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 | 2024-03-15 | 2024-05-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-15 | 2024-04-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-15 | 2024-04-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-15 | 2024-04-29 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-09-13 | 2022-11-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-09-13 | 2022-11-05 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-09-13 | 2022-11-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-09-13 | 2022-11-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-13 | 2022-11-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-13 | 2022-11-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-13 | 2022-11-05 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2022-09-13 | 2022-11-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-13 | 2022-11-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-09-13 | 2022-11-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-13 | 2022-11-05 | 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 | 2022-09-13 | 2022-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-13 | 2022-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-13 | 2022-11-04 | 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 | 2022-09-13 | 2022-11-04 | N |
| Provide appropriate foot care. | Health | 2022-09-13 | 2022-11-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-13 | 2022-11-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-13 | 2022-11-04 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-09-13 | 2022-11-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-13 | 2022-11-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-13 | 2022-11-04 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-09-13 | 2022-11-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-13 | 2022-11-04 | N |