A list of the most recent deficiencies for Sapphire Nursing at Meadow Hill. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-07 | 2023-05-08 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-08 | 2023-02-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-08 | 2023-02-01 | 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 | 2022-12-08 | 2023-02-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-07 | 2022-12-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-12-07 | 2022-12-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-07 | 2022-12-29 | 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 | 2022-12-07 | 2022-12-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-07 | 2022-12-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-07 | 2022-12-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-07 | 2022-12-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-12-07 | 2022-12-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-07 | 2022-12-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-07 | 2022-12-29 | 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 | 2022-12-07 | 2022-12-29 | Y |
| 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 | 2022-12-07 | 2022-12-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-19 | 2022-05-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-04 | 2022-02-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-04 | 2022-02-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-04 | 2022-02-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-02 | 2019-06-25 | 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 | 2019-05-02 | 2019-06-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-02 | 2019-06-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-02 | 2019-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-02 | 2019-06-25 | 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 | 2019-05-02 | 2019-06-25 | N |
| Post nurse staffing information every day. | Health | 2019-05-02 | 2019-06-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-02 | 2019-06-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-05-02 | 2019-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-02 | 2019-06-25 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-05-02 | 2019-06-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-02 | 2019-06-25 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-05-02 | 2019-06-25 | 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 | 2019-05-02 | 2019-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-02 | 2019-06-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-02 | 2019-06-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-02 | 2019-06-25 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-05-02 | 2019-06-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-02 | 2019-06-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-02 | 2019-06-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-02 | 2019-06-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-02 | 2019-06-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-02 | 2019-06-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-08-09 | 2017-10-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-09 | 2017-10-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-08-09 | 2017-10-16 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-08-09 | 2017-09-28 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-09 | 2017-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-09 | 2017-09-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-09 | 2017-09-28 | N |
