Deficiency Records for Sans Souci Rehabilitation and Nursing Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Sans Souci 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?
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 2023-02-08 2023-03-10 Y
Ensure that residents are free from significant medication errors. Health 2023-02-08 2023-03-10 Y
Keep residents' personal and medical records private and confidential. Health 2021-10-27 2022-01-21 N
Post nurse staffing information every day. 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
Provide and implement an infection prevention and control program. Health 2021-10-27 2022-01-21 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-10-27 2022-01-21 Y
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Health 2021-11-23 2022-01-15 Y
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
To conduct inspection, testing and maintenance of fire doors by qualified individuals. 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
Have generator or other power source capable of supplying service within 10 seconds. 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
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-09-30 2021-11-02 Y
Provide and implement an infection prevention and control program. Health 2021-04-20 2021-07-01 Y
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 enough food/fluids to maintain a resident's health. 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 safe, appropriate pain management for a resident who requires such services. 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
Ensure medication error rates are not 5 percent or greater. 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 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 and implement an infection prevention and control program. Health 2018-08-07 2018-10-09 N
Provide family notifications of emergency plan. Fire Safety 2018-08-03 2018-10-05 N
Implement emergency and standby power systems. Fire Safety 2018-08-03 2018-10-05 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2018-08-03 2018-10-05 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-08-03 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 2018-08-03 2018-10-05 N
Install an approved automatic sprinkler system. Fire Safety 2018-08-03 2018-10-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-08-03 2018-10-05 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2018-08-03 2018-10-05 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2018-08-03 2018-10-05 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2018-08-03 2018-10-05 N
Have restrictions on the use of portable space heaters. Fire Safety 2017-02-22 2017-04-14 N
Ensure proper usage of power strips and extension cords. Fire Safety 2017-02-22 2017-04-14 N
Give residents a notice of rights, rules, services and charges. Health 2017-02-22 2017-03-31 N
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2017-02-22 2017-03-31 N
Store, cook, and serve food in a safe and clean way. Health 2017-02-22 2017-03-31 N
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Health 2017-02-22 2017-03-31 N
Make sure that a working call system is available in each resident's room or bathroom and bathing area. Health 2017-02-22 2017-03-31 N