Deficiency Records for Avera Sunrise Manor

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Updated as of March 01, 2024

A list of the most recent deficiencies for Avera Sunrise Manor. 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 heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-08-02 2023-09-22 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
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
Ensure medication error rates are not 5 percent or greater. 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
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
Implement a program that monitors antibiotic use. Health 2023-08-03 2023-09-15 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-08-03 2023-09-15 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-05-06 2022-06-03 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-21 2021-09-17 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2019-08-23 2019-10-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-08-23 2019-10-01 N
Provide and implement an infection prevention and control program. Health 2019-08-23 2019-10-01 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2019-08-23 2019-10-01 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2019-08-19 2019-08-22 N