A list of the most recent deficiencies for Sanctuary at Wilmington Place. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-16 | 2023-12-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-12-11 | Y |
| Provide appropriate foot care. | Health | 2023-11-16 | 2023-12-11 | Y |
| 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 | 2022-12-27 | 2023-02-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-12-27 | 2023-02-10 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-12-27 | 2023-02-10 | 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 | 2022-12-27 | 2023-02-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-12-27 | 2023-02-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-27 | 2023-02-10 | 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 | 2022-12-27 | 2023-02-10 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-12-27 | 2023-02-10 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-12-27 | 2023-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-27 | 2023-02-10 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-12-27 | 2023-02-10 | 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 | 2022-12-27 | 2023-02-10 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-20 | 2023-02-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-12-20 | 2023-02-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-12-20 | 2023-02-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-20 | 2023-02-10 | 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 | 2022-12-20 | 2023-02-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-20 | 2023-02-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-12-20 | 2023-02-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-12-20 | 2023-02-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-20 | 2023-02-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-20 | 2023-02-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-12-20 | 2023-02-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-12-20 | 2023-02-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-20 | 2023-02-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-20 | 2023-02-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-27 | 2023-01-31 | N |
| Post nurse staffing information every day. | Health | 2022-12-27 | 2023-01-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-24 | 2022-03-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-24 | 2022-03-18 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-02-24 | 2022-03-18 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-02-24 | 2022-03-18 | 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 | 2021-09-20 | 2021-10-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-20 | 2021-10-08 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-06-26 | 2021-07-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-26 | 2021-07-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-06-26 | 2021-07-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-19 | 2021-04-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-19 | 2021-04-11 | Y |
| 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 | 2019-11-26 | 2019-12-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-26 | 2019-12-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-26 | 2019-12-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-11-26 | 2019-12-21 | 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 | 2019-11-26 | 2019-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-26 | 2019-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-26 | 2019-12-21 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-11-25 | 2019-12-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-25 | 2019-12-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-25 | 2019-12-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-25 | 2019-12-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-11-25 | 2019-12-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-25 | 2019-12-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-11 | 2018-11-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-11 | 2018-11-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-11 | 2018-11-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-10-11 | 2018-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-12 | 2018-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-12 | 2018-11-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-12 | 2018-11-15 | N |
