Deficiency Records for Sienna Skilled Nursing and Rehabilitation

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Updated as of May 01, 2024

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Deficiency Records for Sienna Skilled Nursing and Rehabilitation

A list of the most recent deficiencies for Sienna Skilled Nursing and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Sienna Skilled Nursing and Rehabilitation. 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 2024-02-21 2024-03-14 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-11-30 2024-01-19 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-11-30 2024-01-19 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 2023-11-30 2024-01-19 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-11-30 2024-01-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-30 2024-01-19 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 2023-11-30 2024-01-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-30 2024-01-19 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-11-30 2024-01-19 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 2023-11-28 2024-01-19 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-11-28 2024-01-19 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-11-28 2024-01-19 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-04-18 2023-05-08 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-02-24 2022-03-18 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-02-24 2022-03-18 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-02-24 2022-03-18 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 2022-02-24 2022-03-18 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-02-22 2022-03-18 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-02-22 2022-03-18 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-02-22 2022-03-18 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-02-22 2022-03-18 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-02-22 2022-03-18 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-02-22 2022-03-18 N
Provide and implement an infection prevention and control program. Health 2021-12-09 2022-01-05 Y
Provide and implement an infection prevention and control program. Health 2021-08-09 2021-08-23 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-06-01 2021-06-22 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-06-01 2021-06-22 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-04-11 2019-05-14 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 2019-04-11 2019-05-14 N
Ensure each resident receives an accurate assessment. Health 2019-04-11 2019-05-14 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2019-04-11 2019-05-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-04-11 2019-05-14 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-04-11 2019-05-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-04-11 2019-05-14 N
Provide enough food/fluids to maintain a resident's health. Health 2019-04-11 2019-05-14 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 2019-04-11 2019-05-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-04-11 2019-05-14 N
Provide and implement an infection prevention and control program. Health 2019-04-11 2019-05-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-12 2019-05-14 N
Have proper medical gas storage and administration areas. Fire Safety 2019-04-12 2019-05-14 N

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