A list of the most recent deficiencies for Mount Sinai South Nassau T C U. 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-06-20 | 2023-08-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-20 | 2023-08-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-20 | 2023-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-20 | 2023-08-02 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-06-20 | 2023-08-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-20 | 2023-08-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-20 | 2023-08-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-16 | 2023-07-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-16 | 2023-07-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-02-06 | 2020-04-01 | 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 | 2019-04-26 | 2019-06-03 | N |
| Respond appropriately to all alleged violations. | Health | 2019-04-26 | 2019-06-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-26 | 2019-06-03 | 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 | 2019-04-26 | 2019-06-03 | 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 | 2019-04-26 | 2019-06-03 | N |
