Deficiency Records for Sullivan County Health Care

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Updated as of March 01, 2024

A list of the most recent deficiencies for Sullivan County Health Care. 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 that the resident and his/her doctor meet face-to-face at all required visits. Health 2023-10-19 2024-02-23 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-04 2024-01-31 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-04 2024-01-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-19 2023-11-03 Y
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 2023-10-19 2023-11-03 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2022-10-05 2022-11-30 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 2022-10-05 2022-11-14 N
Ensure staff are vaccinated for COVID-19 Health 2022-10-05 2022-11-14 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 2022-10-06 2022-11-14 N
Provide properly protected cooking facilities. Fire Safety 2022-10-06 2022-11-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-06 2022-11-14 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-10-06 2022-11-14 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-10-05 2022-11-04 N
Respond appropriately to all alleged violations. Health 2022-10-05 2022-11-04 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-10-05 2022-10-26 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-10-05 2022-10-17 N
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 2021-06-24 2021-08-12 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-06-24 2021-08-12 N
Post nurse staffing information every day. Health 2021-06-24 2021-08-12 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 2021-06-24 2021-08-12 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2021-06-22 2021-08-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-06-22 2021-08-06 N