A list of the most recent deficiencies for Quality Life Services - Sugar Creek. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-18 | 2023-10-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-18 | 2023-10-06 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-08-18 | 2023-10-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-18 | 2023-10-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-18 | 2023-10-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-18 | 2023-10-06 | 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 | 2023-08-18 | 2023-10-06 | N |
| Keep all essential equipment working safely. | Health | 2023-08-18 | 2023-10-06 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2023-08-18 | 2023-10-06 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-08-22 | 2023-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-22 | 2023-09-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-26 | 2022-10-10 | 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 | 2022-08-26 | 2022-10-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-26 | 2022-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-08 | 2022-09-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-08 | 2022-09-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-08 | 2022-09-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-08 | 2022-09-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-20 | 2022-06-23 | Y |
| 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 | 2022-05-20 | 2022-06-23 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-05-20 | 2022-06-23 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-05-20 | 2022-06-23 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-05-20 | 2022-06-23 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-05-20 | 2022-06-23 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-08-27 | 2021-10-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-27 | 2021-10-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-08-27 | 2021-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-24 | 2021-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-24 | 2021-09-15 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2021-08-24 | 2021-09-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-24 | 2021-09-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-08-24 | 2021-09-15 | N |
