A list of the most recent deficiencies for Daughters of Sarah 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-02 | 2023-11-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-02 | 2023-11-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-18 | 2021-11-30 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-10-18 | 2021-11-30 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-10-18 | 2021-11-30 | N |
| Dispose of garbage and refuse properly. | Health | 2021-10-18 | 2021-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-18 | 2021-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-18 | 2021-11-30 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-04-22 | 2021-05-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-24 | 2019-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-24 | 2019-07-22 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-05-24 | 2019-07-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-05-24 | 2019-07-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-24 | 2019-07-22 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-07-13 | 2017-09-10 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-07-13 | 2017-09-10 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-13 | 2017-09-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-13 | 2017-09-10 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-13 | 2017-09-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-13 | 2017-09-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-13 | 2017-09-10 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-07-13 | 2017-09-10 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-07-13 | 2017-09-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-13 | 2017-09-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-13 | 2017-09-10 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-13 | 2017-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-13 | 2017-09-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-13 | 2017-09-10 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-07-13 | 2017-09-10 | N |
