A list of the most recent deficiencies for Sunterra Springs Independence. 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 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 | 2023-12-26 | 2023-12-02 | Y |
| 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 | 2023-06-08 | 2023-07-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-08 | 2023-07-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-08 | 2023-07-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-06-08 | 2023-07-21 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-06-08 | 2023-07-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-08 | 2023-07-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-08 | 2023-07-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-08 | 2023-07-21 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-06-08 | 2023-07-21 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-06-08 | 2023-07-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-08 | 2023-07-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-08 | 2023-07-21 | 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 | 2021-09-29 | 2021-12-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-29 | 2021-11-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-09-29 | 2021-11-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-29 | 2021-11-12 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-09-29 | 2021-11-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-29 | 2021-11-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-09-29 | 2021-11-12 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-09-29 | 2021-11-12 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-09-29 | 2021-11-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-29 | 2021-11-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-29 | 2021-11-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-29 | 2021-11-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-29 | 2021-11-12 | 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 | 2019-08-14 | 2019-09-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-14 | 2019-09-20 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-14 | 2019-09-20 | 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 | 2019-08-14 | 2019-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-14 | 2019-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-14 | 2019-09-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-14 | 2019-09-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-08-14 | 2019-09-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-08-14 | 2019-09-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-08-14 | 2019-09-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-14 | 2019-09-20 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-14 | 2019-09-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-14 | 2019-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-14 | 2019-09-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-14 | 2019-09-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-14 | 2019-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-14 | 2019-09-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-08-14 | 2019-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-14 | 2019-09-20 | N |
