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Deficiency Records for Sans Souci Rehabilitation and Nursing Center
View the most recent health deficiencies and inspection results for Sans Souci Rehabilitation and Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Sans Souci Rehabilitation and Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-09-08 | 2025-11-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-09-08 | 2025-11-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-08 | 2025-11-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-15 | 2025-05-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-15 | 2025-05-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-04-15 | 2025-05-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-15 | 2025-05-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-15 | 2025-05-16 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-04-15 | 2025-05-16 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-08-14 | 2024-09-27 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-08-14 | 2024-09-27 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-14 | 2024-09-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-14 | 2024-09-27 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-08-14 | 2024-09-27 | Y |
| 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 | 2024-08-14 | 2024-09-27 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-14 | 2024-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-14 | 2024-09-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-14 | 2024-09-27 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-08-14 | 2024-09-27 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-14 | 2024-09-27 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-08-14 | 2024-09-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-30 | 2024-09-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-30 | 2024-09-19 | Y |
| Use approved construction type or materials. | Fire Safety | 2024-08-14 | 2024-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-27 | 2022-01-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-27 | 2022-01-21 | N |
| Post nurse staffing information every day. | Health | 2021-10-27 | 2022-01-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-10-27 | 2022-01-21 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-10-27 | 2021-12-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-10-27 | 2021-12-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-27 | 2021-12-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-27 | 2021-12-24 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-10-27 | 2021-12-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-27 | 2021-12-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-07 | 2018-10-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-07 | 2018-10-09 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-08-07 | 2018-10-09 | N |
| Provide or obtain dental services for each resident. | Health | 2018-08-07 | 2018-10-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-07 | 2018-10-09 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-08-07 | 2018-10-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-07 | 2018-10-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-08-07 | 2018-10-09 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-08-07 | 2018-10-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-08-07 | 2018-10-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-08-07 | 2018-10-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-07 | 2018-10-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-08-07 | 2018-10-09 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-08-07 | 2018-10-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-07 | 2018-10-09 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-08-07 | 2018-10-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-08-07 | 2018-10-05 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-08-07 | 2018-10-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-07 | 2018-10-05 | 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 | 2018-08-07 | 2018-10-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-07 | 2018-10-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-07 | 2018-10-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-07 | 2018-10-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-07 | 2018-10-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-08-07 | 2018-10-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-04-22 | Not Fixed | 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 | 2025-04-22 | Not Fixed | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-04-22 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-22 | Not Fixed | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-22 | Not Fixed | Y |