Deficiency Records for Sanford Health and Rehabilitation Co
Updated as of January 01, 2022
This is not the most recent data for Sanford Health and Rehabilitation Co. For the most recent information, click here.
A list of the most recent deficiencies for Sanford Health and Rehabilitation Co. 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-05-06 | 2021-06-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-06 | 2021-06-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-06 | 2021-06-02 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-05-06 | 2021-06-02 | 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 | 2021-05-06 | 2021-06-02 | 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 | 2021-05-06 | 2021-06-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-06 | 2021-06-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-05-06 | 2021-06-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-06 | 2021-06-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-06 | 2021-06-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-25 | 2021-05-06 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-03-25 | 2021-05-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-02-08 | 2021-05-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-08 | 2021-02-22 | 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 | 2021-02-08 | 2021-02-22 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-08 | 2021-02-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-08 | 2021-02-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-09 | 2020-10-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-13 | 2020-01-03 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-13 | 2020-01-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-17 | 2019-12-04 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-09-12 | 2019-11-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-12 | 2019-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-12 | 2019-11-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-12 | 2019-11-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-12 | 2019-11-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-24 | 2019-09-19 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-08-08 | 2019-08-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-08 | 2019-08-28 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-08-08 | 2019-08-28 | N |
| Post nurse staffing information every day. | Health | 2019-08-08 | 2019-08-28 | 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 | 2019-08-08 | 2019-08-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-08 | 2019-05-24 | 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 | 2018-09-05 | 2018-11-01 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-09-05 | 2018-11-01 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-09-05 | 2018-11-01 | 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 | 2018-09-05 | 2018-11-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-09-05 | 2018-11-01 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-09-05 | 2018-11-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-09-05 | 2018-11-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-05 | 2018-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-05 | 2018-11-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-09 | 2018-09-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-09 | 2018-09-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-09 | 2018-09-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-09 | 2018-09-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-09 | 2018-09-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-09 | 2018-09-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-09 | 2018-09-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-08-09 | 2018-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-09 | 2018-09-05 | 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 | 2018-08-09 | 2018-09-05 | 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 | 2018-08-09 | 2018-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-09 | 2018-09-05 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-08-09 | 2018-09-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-09 | 2018-09-05 | N |
