A list of the most recent deficiencies for Sunnyslope Nursing Home. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-09 | 2022-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-09 | 2022-06-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-09 | 2022-06-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-05-09 | 2022-06-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-09 | 2022-06-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-09 | 2022-06-14 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-05-09 | 2022-06-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-09 | 2022-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-09 | 2022-06-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-09 | 2022-06-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-09 | 2022-06-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-09 | 2022-06-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-09 | 2022-06-14 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-05-09 | 2022-06-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-12 | 2022-06-01 | 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 | 2022-05-12 | 2022-06-01 | 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 | 2022-05-12 | 2022-06-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-12 | 2022-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-30 | 2021-12-17 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-11-10 | 2021-12-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-09-06 | 2019-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-06 | 2019-12-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-05 | 2019-12-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-05 | 2019-12-06 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-09-05 | 2019-12-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-06 | 2019-11-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-06 | 2019-11-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-06 | 2019-11-06 | N |
| Respond appropriately to all alleged violations. | Health | 2019-09-06 | 2019-11-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-06 | 2019-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-06 | 2019-11-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-06 | 2019-11-06 | N |
| Provide appropriate foot care. | Health | 2019-09-06 | 2019-11-06 | 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 | 2019-09-06 | 2019-11-06 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-09-06 | 2019-11-06 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-09-06 | 2019-11-06 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-09-06 | 2019-11-06 | 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 | 2019-09-06 | 2019-11-06 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-09-06 | 2019-11-06 | N |
| Provide or obtain dental services for each resident. | Health | 2019-09-06 | 2019-11-06 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-09-06 | 2019-11-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-09-06 | 2019-11-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-05 | 2019-11-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-05 | 2019-11-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-09-05 | 2019-11-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-05 | 2019-11-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-05 | 2019-11-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-09-05 | 2019-11-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-05 | 2019-11-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-05 | 2019-11-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-05 | 2019-11-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-05 | 2019-11-06 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-08-16 | 2018-09-07 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-08-16 | 2018-09-07 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-08-16 | 2018-09-07 | 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 | 2018-08-16 | 2018-09-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-16 | 2018-09-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-16 | 2018-09-07 | 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 | 2018-08-16 | 2018-09-07 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2018-08-16 | 2018-09-07 | N |
| Provide or obtain dental services for each resident. | Health | 2018-08-16 | 2018-09-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-16 | 2018-09-07 | N |
