Deficiency Records for Sand Springs Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Sand Springs 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? |
---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-10 | 2023-10-23 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-10 | 2023-10-23 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-10 | 2023-10-23 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-12 | 2023-06-26 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-12 | 2023-06-26 | Y |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-05-01 | 2023-06-12 | Y |
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 | 2021-07-28 | 2021-09-17 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-28 | 2021-09-17 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-28 | 2021-09-17 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-28 | 2021-09-17 | 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 | 2021-07-28 | 2021-09-17 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-28 | 2021-09-17 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-06 | 2019-12-23 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-06 | 2019-12-23 | 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 | 2019-11-06 | 2019-12-23 | 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 | 2019-11-06 | 2019-12-23 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-06 | 2019-12-23 | 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 | 2019-10-31 | 2019-12-23 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-31 | 2019-12-23 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-31 | 2019-12-23 | N |
Have exits that are accessible at all times. | Fire Safety | 2018-07-10 | 2018-08-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-10 | 2018-08-10 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-10 | 2018-08-10 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-18 | 2018-08-06 | N |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-07-18 | 2018-08-06 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-07-18 | 2018-08-06 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-18 | 2018-08-06 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-18 | 2018-08-06 | 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 | 2018-07-18 | 2018-08-06 | 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 | 2018-07-18 | 2018-08-06 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-07-18 | 2018-08-06 | N |
Provide and implement an infection prevention and control program. | Health | 2018-07-18 | 2018-08-06 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-07-18 | 2018-08-06 | N |