A list of the most recent deficiencies for Sunset Estates of Purcell. 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 residents are fully informed and understand their health status, care and treatments. | Health | 2023-09-12 | 2023-09-29 | 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 | 2023-09-12 | 2023-09-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-12 | 2023-09-29 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-09-12 | 2023-09-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-12 | 2023-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-12 | 2023-09-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-02 | 2023-02-24 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-10-20 | 2022-11-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-20 | 2022-11-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-10-20 | 2022-11-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-20 | 2022-11-04 | 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 | 2022-10-20 | 2022-11-04 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-10-20 | 2022-11-04 | N |
| Post nurse staffing information every day. | Health | 2022-10-20 | 2022-11-04 | 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 | 2022-10-20 | 2022-11-04 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-10-20 | 2022-11-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-19 | 2022-11-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-10-19 | 2022-11-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-16 | 2021-07-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-06 | 2019-12-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-06 | 2019-12-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-06 | 2019-12-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-06 | 2019-12-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-06 | 2019-12-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-06 | 2019-12-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-06 | 2019-12-18 | 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 | 2019-11-06 | 2019-12-18 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-11-06 | 2019-12-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-06 | 2019-12-18 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-11-05 | 2019-12-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-11-05 | 2019-12-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-11-05 | 2019-12-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-05 | 2019-12-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-05 | 2019-12-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-06 | 2018-10-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-09-06 | 2018-09-28 | N |
