Deficiency Records for Sequoyah Pointe Skilled Nursing and Therapy
Updated as of March 01, 2024
A list of the most recent deficiencies for Sequoyah Pointe Skilled Nursing and Therapy. 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? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-11-02 | 2023-12-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-02 | 2023-12-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-02 | 2023-12-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-02 | 2023-12-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-02 | 2023-12-05 | N |
| Post nurse staffing information every day. | Health | 2023-11-02 | 2023-12-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-02 | 2023-12-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-09 | 2023-02-21 | Y |
| 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 | 2023-02-09 | 2023-02-21 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-09 | 2023-02-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-01 | 2022-06-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-06-01 | 2022-06-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-06-01 | 2022-06-29 | 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 | 2022-06-01 | 2022-06-29 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-06-01 | 2022-06-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-01 | 2022-06-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-01 | 2022-06-29 | Y |
| 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 | 2022-06-01 | 2022-06-29 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-06-01 | 2022-06-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-01 | 2022-06-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-01 | 2022-06-29 | Y |
| Install proper backup exit lighting. | Fire Safety | 2022-05-25 | 2022-06-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-25 | 2022-06-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-05-25 | 2022-06-29 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-05-25 | 2022-06-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-25 | 2022-06-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-25 | 2022-06-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-25 | 2021-09-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-09-03 | 2019-10-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-03 | 2019-10-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-03 | 2019-10-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-03 | 2019-10-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-03 | 2019-10-16 | 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 | 2019-09-03 | 2019-10-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-03 | 2019-10-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-03 | 2019-10-16 | 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 | 2019-09-03 | 2019-10-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-03 | 2019-10-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-03 | 2019-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-03 | 2019-10-16 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-08-22 | 2019-10-16 | 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 | 2019-08-22 | 2019-10-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-08-22 | 2019-10-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-08-22 | 2019-10-16 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-08-22 | 2019-10-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-08-22 | 2019-10-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-22 | 2019-10-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-22 | 2019-10-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-22 | 2019-10-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-22 | 2019-10-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-22 | 2019-10-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-05-17 | 2018-06-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-05-17 | 2018-06-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-05-17 | 2018-06-18 | N |
| Have an externally vented heating system. | Fire Safety | 2018-05-17 | 2018-06-18 | N |
