Deficiency Records for Sands Point Center For Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Sands Point Center For Health and Rehabilitation. 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 each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-05-22 | 2023-07-21 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-22 | 2023-07-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-31 | 2022-10-28 | N |
| Respond appropriately to all alleged violations. | Health | 2022-08-31 | 2022-10-28 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-08-31 | 2022-10-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-08-31 | 2022-10-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-31 | 2022-10-28 | 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 | 2022-08-31 | 2022-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-31 | 2022-10-28 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-08-31 | 2022-10-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-31 | 2022-10-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-31 | 2022-10-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-22 | 2020-01-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-22 | 2020-01-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-22 | 2020-01-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-22 | 2020-01-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-22 | 2020-01-15 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-11-22 | 2020-01-15 | 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 | 2019-11-22 | 2020-01-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-22 | 2020-01-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-22 | 2020-01-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-11-22 | 2020-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-22 | 2020-01-15 | 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 | 2018-07-26 | 2018-09-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-26 | 2018-09-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-26 | 2018-09-07 | 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 | 2018-07-26 | 2018-09-07 | 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 | 2018-07-26 | 2018-09-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-26 | 2018-09-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-07-27 | 2018-09-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-07-27 | 2018-09-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-27 | 2018-09-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-27 | 2018-09-07 | N |
