Deficiency Records for Sanctuary Pointe Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Sanctuary Pointe Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-12 | 2023-12-15 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-12-12 | 2023-12-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-03 | 2023-08-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-06 | 2023-05-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-06 | 2023-05-09 | Y |
| Provide immediate access to any resident. | Health | 2023-04-06 | 2023-05-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-06 | 2023-05-09 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-04-06 | 2023-05-09 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-06 | 2023-05-09 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-06 | 2023-05-09 | 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 | 2023-04-06 | 2023-05-09 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-04-06 | 2023-05-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-06 | 2023-05-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-21 | 2022-04-29 | Y |
| 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 | 2022-04-21 | 2022-04-29 | Y |
| Post nurse staffing information every day. | Health | 2022-04-21 | 2022-04-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-03 | 2021-03-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-03-12 | 2020-04-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-12 | 2020-04-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-12 | 2020-04-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-03-12 | 2020-04-14 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-03-12 | 2020-04-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-03-12 | 2020-04-14 | 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 | 2020-03-12 | 2020-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-04-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-02-07 | 2019-03-15 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-02-07 | 2019-03-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-07 | 2019-03-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-03-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-07 | 2019-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-07 | 2019-03-15 | 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 | 2019-02-07 | 2019-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-07 | 2019-03-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-07 | 2019-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-07 | 2019-03-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-02-07 | 2019-03-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-02-07 | 2019-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-07 | 2019-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-11 | 2018-02-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-01-11 | 2018-02-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-11 | 2018-02-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-01-09 | 2018-02-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-01-09 | 2018-02-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-09 | 2018-02-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-09 | 2018-02-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-09 | 2018-02-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-01-09 | 2018-02-15 | N |
