A list of the most recent deficiencies for Sunharbor Manor. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2022-05-25 | 2022-10-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-25 | 2022-07-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-25 | 2022-07-21 | 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 | 2022-05-25 | 2022-07-21 | N |
| Post nurse staffing information every day. | Health | 2022-05-25 | 2022-07-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-25 | 2022-07-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-25 | 2022-07-21 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-25 | 2022-07-21 | N |
| Respond appropriately to all alleged violations. | Health | 2022-05-25 | 2022-07-21 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-25 | 2022-06-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-25 | 2022-06-14 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-05-25 | 2022-06-14 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-11-05 | 2019-12-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-05 | 2019-12-19 | 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 | 2019-11-05 | 2019-12-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-05 | 2019-12-19 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-11-05 | 2019-12-19 | 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 | 2019-11-05 | 2019-12-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-11-05 | 2019-12-19 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-11-05 | 2019-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-05 | 2019-12-19 | 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 | 2018-07-06 | 2018-08-24 | N |
