Deficiency Records for Sodus Rehabilitation and Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Sodus Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| 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 | 2022-11-02 | 2023-01-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-02 | 2023-01-04 | 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 | 2022-11-02 | 2023-01-04 | N |
| Provide activities to meet all resident's needs. | Health | 2022-11-02 | 2023-01-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-02 | 2023-01-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-02 | 2023-01-04 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-11-02 | 2023-01-04 | 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 | 2022-11-02 | 2023-01-04 | 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 | 2022-11-02 | 2023-01-04 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-11-02 | 2023-01-04 | Y |
| 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 | 2022-11-02 | 2022-12-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-02 | 2022-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-02 | 2022-12-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-02 | 2022-12-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-02 | 2022-12-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-11-02 | 2022-12-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-03 | 2022-10-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-25 | 2022-10-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-01 | 2022-03-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-01 | 2022-03-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-25 | 2021-07-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-09-24 | 2020-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-24 | 2020-11-22 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-09-24 | 2020-11-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-24 | 2020-11-22 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-09-24 | 2020-11-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-09-24 | 2020-11-22 | N |
| Provide or obtain dental services for each resident. | Health | 2020-09-24 | 2020-11-22 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-09-24 | 2020-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-24 | 2020-11-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-06-26 | 2019-08-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-26 | 2019-08-09 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-06-26 | 2019-08-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-26 | 2019-08-09 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-06-26 | 2019-08-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-26 | 2019-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-26 | 2019-08-09 | 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 | 2019-06-26 | 2019-08-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-26 | 2019-08-09 | N |
