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Deficiency Records for Avera Sunrise Manor
View the most recent health deficiencies and inspection results for Avera Sunrise Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avera Sunrise Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-04-02 | 2025-05-12 | 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 | 2025-04-02 | 2025-05-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-02 | 2025-05-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-04-02 | 2025-05-12 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-02 | 2025-04-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-04-02 | 2025-04-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-04-02 | 2025-04-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-03 | 2024-05-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-04-03 | 2024-05-01 | 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 | 2024-04-03 | 2024-05-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-03 | 2023-09-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-03 | 2023-09-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-03 | 2023-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-03 | 2023-09-15 | 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 | 2023-08-03 | 2023-09-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-03 | 2023-09-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-03 | 2023-09-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-08-03 | 2023-09-15 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-04-03 | Not Fixed | N |