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Deficiency Records for Sapphire Nursing and Rehab at Goshen
View the most recent health deficiencies and inspection results for Sapphire Nursing and Rehab at Goshen. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Sapphire Nursing and Rehab at Goshen. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2025-04-16 | 2025-06-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-04-16 | 2025-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-16 | 2025-06-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-04-16 | 2025-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-16 | 2025-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-16 | 2025-06-09 | 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 | 2025-04-16 | 2025-06-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-04-16 | 2025-06-09 | 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 | 2024-12-10 | 2025-02-03 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-12-10 | 2025-02-03 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-07 | 2023-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-07 | 2023-04-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-07 | 2023-04-11 | 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 | 2023-02-07 | 2023-04-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-07 | 2023-03-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-07 | 2023-03-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-07 | 2023-03-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-07 | 2023-03-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-02-07 | 2023-03-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-07 | 2023-03-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-07 | 2023-03-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-12-10 | 2020-02-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-10 | 2020-02-19 | 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 | 2019-12-10 | 2020-02-19 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-12-10 | 2020-02-19 | N |
| Develop a communication plan. | Fire Safety | 2019-12-10 | 2020-02-19 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-12-10 | 2020-02-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-10 | 2020-02-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-10 | 2020-02-04 | 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 | 2019-12-10 | 2020-02-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-10 | 2020-02-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-10 | 2020-02-04 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-12-10 | 2020-02-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-10 | 2020-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-10 | 2020-02-04 | N |