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Deficiency Records for Sunset Villa Healthcare
View the most recent health deficiencies and inspection results for Sunset Villa Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Sunset Villa Healthcare. Stay informed about quality of care issues.
| 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 | 2025-11-21 | 2025-12-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-21 | 2025-12-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-11-21 | 2025-12-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-02 | 2025-09-26 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-02-06 | 2025-03-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-02-06 | 2025-03-17 | N |
| 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 | 2025-02-06 | 2025-03-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-02-06 | 2025-03-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-06 | 2025-03-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-06 | 2025-03-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-06 | 2025-03-17 | 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 | 2025-02-06 | 2025-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-06 | 2025-03-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-02-06 | 2025-03-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-02-06 | 2025-03-17 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-02-06 | 2025-03-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-02-06 | 2025-03-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-06 | 2025-03-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-06 | 2024-08-02 | 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 | 2024-06-07 | 2024-07-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-07 | 2024-07-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-07 | 2024-07-05 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-07 | 2024-07-05 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-03-06 | 2024-04-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-06 | 2024-04-03 | N |
| Provide activities to meet all resident's needs. | Health | 2024-03-06 | 2024-04-03 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-03-06 | 2024-04-03 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-03-06 | 2024-04-03 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-03-06 | 2024-04-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-06 | 2024-04-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-06 | 2024-04-03 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-06 | 2024-04-03 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-03-06 | 2024-04-03 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-03-06 | 2024-04-03 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-06 | 2024-04-03 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-03-06 | 2024-04-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-06 | 2024-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-06 | 2024-04-03 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-03-06 | 2024-04-03 | N |
| Provide or obtain dental services for each resident. | Health | 2024-03-06 | 2024-04-03 | 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 | 2024-03-06 | 2024-04-03 | 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 | 2024-03-06 | 2024-04-03 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-03-06 | 2024-04-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-06 | 2024-04-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-06 | 2024-04-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-06 | 2024-04-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-06 | 2024-04-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-06 | 2024-04-03 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-03-06 | 2024-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-06 | 2024-04-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-03-06 | 2024-04-03 | N |
| 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 | 2024-03-06 | 2024-04-03 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-03-06 | 2024-04-03 | 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 | 2024-03-06 | 2024-04-03 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-03-06 | 2024-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-06 | 2023-09-28 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-02-02 | 2023-03-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-02-02 | 2023-03-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-02 | 2023-03-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-02 | 2023-03-03 | 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 | 2023-02-02 | 2023-03-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-02-02 | 2023-03-03 | N |
| Post nurse staffing information every day. | Health | 2023-02-02 | 2023-03-03 | 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 | 2023-02-02 | 2023-03-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-02 | 2023-03-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-02 | 2023-03-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-02 | 2023-03-03 | N |
| 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 | 2023-02-02 | 2023-03-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-02 | 2023-03-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-02 | 2023-02-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-02 | 2023-02-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-02 | 2023-02-21 | 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 | 2023-02-02 | 2023-02-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-02 | 2023-02-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-02 | 2023-02-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-02 | 2023-02-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-02 | 2023-02-21 | N |