Deficiency Records for Sanctuary at Wilmington Place
Updated as of August 01, 2021
This is not the most recent data for Sanctuary at Wilmington Place. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | 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 |
| 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 |
| 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 safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-26 | 2019-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-11-26 | 2019-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-09-05 | 2019-09-20 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2019-01-17 | 2019-03-08 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-01-17 | 2019-03-08 | Y |
| 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 |
| 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 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-01 | 2018-10-11 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-01 | 2018-10-11 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2017-08-24 | 2017-11-01 | 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 | 2017-08-24 | 2017-11-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-24 | 2017-11-01 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-24 | 2017-11-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-24 | 2017-11-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-24 | 2017-11-01 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-24 | 2017-11-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-24 | 2017-11-01 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-08-24 | 2017-11-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-24 | 2017-11-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-24 | 2017-11-01 | N |
