Deficiency Records for Sunharbor Manor
Updated as of January 01, 2022
This is not the most recent data for Sunharbor Manor. For the most recent information, click here.
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 | 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 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-15 | 2019-09-02 | Y |
| 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 |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-28 | 2017-04-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-28 | 2017-04-25 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-02-28 | 2017-04-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-28 | 2017-04-25 | 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 | 2017-02-28 | 2017-04-25 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-02-28 | 2017-04-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-28 | 2017-04-25 | N |
| Use approved construction type or materials. | Fire Safety | 2017-02-28 | 2017-03-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-02-28 | 2017-03-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-28 | 2017-03-01 | N |
