A list of the most recent deficiencies for Sunset Health Care Center. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-05 | 2024-02-07 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-01-05 | 2024-02-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-05 | 2024-02-07 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-01-05 | 2024-02-07 | N |
| Post nurse staffing information every day. | Health | 2024-01-05 | 2024-02-07 | 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 | 2024-01-05 | 2024-02-07 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-01-05 | 2024-02-07 | 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 | 2024-01-05 | 2024-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-05 | 2024-02-07 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-01-05 | 2024-02-07 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-01-05 | 2024-02-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-01-05 | 2024-02-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-01-05 | 2024-02-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-01-05 | 2024-02-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-01-05 | 2024-02-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-01-05 | 2024-02-07 | 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 | 2024-01-05 | 2024-02-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-01-05 | 2024-02-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-01-05 | 2024-02-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-01-05 | 2024-02-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-05 | 2024-02-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-05 | 2024-02-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-20 | 2023-11-15 | Y |
| 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 | 2022-07-20 | 2022-08-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-20 | 2022-08-17 | 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 | 2022-07-20 | 2022-08-17 | N |
| Post nurse staffing information every day. | Health | 2022-07-20 | 2022-08-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-20 | 2022-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-20 | 2022-08-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-20 | 2022-08-17 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-08 | 2021-08-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-08 | 2021-08-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-08 | 2021-08-18 | Y |
| 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 | 2019-09-13 | 2019-10-30 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-09-13 | 2019-10-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-13 | 2019-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-13 | 2019-10-30 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-09-13 | 2019-10-30 | 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 | 2019-09-13 | 2019-10-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-13 | 2019-10-30 | N |
