A list of the most recent deficiencies for Sutton Community Home, Inc.. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-14 | 2023-10-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-14 | 2023-10-27 | 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 | 2023-09-14 | 2023-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-09-11 | 2023-10-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-11 | 2023-10-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-11 | 2023-10-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-11 | 2023-10-27 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-09-11 | 2023-10-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-11 | 2023-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-11 | 2023-10-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-26 | 2022-09-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-26 | 2022-09-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-26 | 2022-09-09 | 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 | 2022-07-26 | 2022-09-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-26 | 2022-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-26 | 2022-09-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-26 | 2022-09-09 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-21 | 2022-09-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-21 | 2022-09-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-21 | 2022-09-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-28 | 2021-05-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-28 | 2021-05-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-28 | 2021-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-28 | 2021-05-31 | 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 | 2021-04-27 | 2021-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-27 | 2021-05-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-27 | 2021-05-30 | N |
