Deficiency Records for Sunset Nursing and Rehabilitation Center, Inc
Updated as of March 01, 2024
A list of the most recent deficiencies for Sunset Nursing and Rehabilitation Center, Inc. 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-03 | 2024-01-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-06 | 2024-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-06 | 2024-01-03 | 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 | 2023-11-06 | 2024-01-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-06 | 2024-01-03 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-06 | 2024-01-03 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-11-06 | 2024-01-03 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-03 | 2023-12-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-03 | 2023-12-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-03 | 2023-12-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-21 | 2023-04-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-18 | 2022-01-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 2022-01-06 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-11-18 | 2022-01-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-21 | 2021-11-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-07-21 | 2021-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-21 | 2021-09-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-21 | 2021-09-13 | 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 | 2021-07-21 | 2021-09-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-21 | 2021-09-13 | 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 | 2021-07-21 | 2021-09-13 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-07-21 | 2021-09-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-15 | 2021-09-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-15 | 2021-09-13 | 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 | 2021-07-15 | 2021-09-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-15 | 2021-09-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-15 | 2021-09-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-15 | 2021-09-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-03-21 | 2019-05-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-03-21 | 2019-05-01 | N |
| 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 | 2019-03-21 | 2019-04-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-21 | 2019-04-30 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-21 | 2019-04-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-03-21 | 2019-04-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-21 | 2019-04-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-03-21 | 2019-04-30 | 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 | 2019-03-21 | 2019-04-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-03-21 | 2019-04-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-21 | 2019-04-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-21 | Not Fixed | N |
