A list of the most recent deficiencies for Sandhills 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? |
---|---|---|---|---|
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-26 | 2023-11-10 | Y |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-18 | 2023-06-16 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-05-18 | 2023-06-16 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-18 | 2023-06-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-06-16 | N |
Provide and implement an infection prevention and control program. | Health | 2023-05-18 | 2023-06-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
Implement emergency and standby power systems. | Fire Safety | 2023-05-16 | 2023-06-09 | N |
Meet other general requirements. | Fire Safety | 2023-05-16 | 2023-06-09 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-05-16 | 2023-06-09 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-16 | 2023-06-09 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-16 | 2023-06-09 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-16 | 2023-06-09 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-15 | 2022-04-29 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-15 | 2022-04-29 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-03-15 | 2022-04-29 | 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 | 2022-03-15 | 2022-04-29 | N |
Respond appropriately to all alleged violations. | Health | 2022-03-15 | 2022-04-29 | Y |
Implement a program that monitors antibiotic use. | Health | 2022-03-15 | 2022-04-29 | Y |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-03-15 | 2022-04-29 | Y |
Ensure staff are vaccinated for COVID-19 | Health | 2022-03-15 | 2022-04-29 | Y |
Create arrangements with other facilities to receive patients. | Fire Safety | 2022-03-15 | 2022-04-29 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-03-15 | 2022-04-29 | 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 | 2022-03-10 | 2022-04-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-10 | 2022-04-29 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-10 | 2022-04-29 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-01-20 | 2022-02-28 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-20 | 2022-02-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-20 | 2022-02-28 | Y |
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 | 2021-12-13 | 2022-01-12 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-23 | 2021-09-30 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-23 | 2021-09-30 | Y |
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 | 2021-08-23 | 2021-09-30 | 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 | 2021-01-28 | 2021-03-01 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-01-28 | 2021-03-01 | 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 | 2021-01-28 | 2021-03-01 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-01-28 | 2021-03-01 | N |
Implement emergency and standby power systems. | Fire Safety | 2021-01-26 | 2021-02-19 | N |
Meet other general requirements. | Fire Safety | 2021-01-26 | 2021-02-19 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2021-01-26 | 2021-02-19 | 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 | 2021-01-26 | 2021-02-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-26 | 2021-02-19 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-01-26 | 2021-02-19 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-01-26 | 2021-02-19 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-01-26 | 2021-02-19 | N |