A list of the most recent deficiencies for Sunnybrook Rehabilitation Center. 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? |
---|---|---|---|---|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-11 | 2024-01-26 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-11 | 2024-01-26 | N |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-01-11 | 2024-01-26 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-18 | 2023-09-08 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-06-27 | 2023-07-25 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-06-27 | 2023-05-23 | Y |
Meet other general requirements. | Fire Safety | 2022-10-13 | 2022-12-16 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-13 | 2022-12-16 | 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 | 2022-10-13 | 2022-12-16 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-10-13 | 2022-12-16 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-13 | 2022-12-16 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-13 | 2022-12-16 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-13 | 2022-12-16 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-15 | 2022-10-03 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-15 | 2022-10-03 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-01 | 2021-10-11 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-05-14 | 2021-06-07 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-05-14 | 2021-06-07 | 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 | 2021-05-14 | 2021-06-07 | N |
Provide activities to meet all resident's needs. | Health | 2021-05-14 | 2021-06-07 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-14 | 2021-06-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-14 | 2021-06-07 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-14 | 2021-06-07 | Y |
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 | 2021-05-14 | 2021-06-07 | Y |
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 | 2021-05-14 | 2021-06-07 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-05-14 | 2021-06-07 | Y |