A list of the most recent deficiencies for Sycamore Run Nursing and Rehab Ctr. 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 | 2023-11-15 | 2023-12-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-15 | 2023-12-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-05 | 2023-03-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-07 | 2022-12-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-07 | 2022-12-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-07 | 2022-12-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-07 | 2022-12-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-07 | 2022-12-28 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-06 | 2022-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-06 | 2022-12-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-06 | 2022-12-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-10-24 | 2019-11-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-24 | 2019-11-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-24 | 2019-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-24 | 2019-11-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-22 | 2019-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-22 | 2019-11-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-23 | 2018-10-10 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-08-23 | 2018-10-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-08-23 | 2018-10-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-23 | 2018-10-10 | N |
| Respond appropriately to all alleged violations. | Health | 2018-08-23 | 2018-10-10 | N |
| Provide activities to meet all resident's needs. | Health | 2018-08-23 | 2018-10-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-23 | 2018-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-23 | 2018-10-10 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-08-23 | 2018-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-22 | 2018-10-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-22 | 2018-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-22 | 2018-10-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-22 | 2018-10-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-22 | 2018-10-10 | N |
