Deficiency Records for Quality Life Services - Sugar Creek
Updated as of March 01, 2019
This is not the most recent data for Quality Life Services - Sugar Creek. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Meet other general requirements. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Use approved construction type or materials. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-06-08 | 2018-08-07 | 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 | 2018-06-08 | 2018-08-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-08 | 2018-08-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-05 | 2018-07-20 | N |
| Provide activities to meet all resident's needs. | Health | 2018-06-05 | 2018-07-20 | 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 | 2018-06-05 | 2018-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-05 | 2018-07-20 | N |
| Dispose of garbage and refuse properly. | Health | 2018-06-05 | 2018-07-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-05 | 2018-07-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-07-11 | 2017-10-02 | N |
| Use approved construction type or materials. | Fire Safety | 2017-07-11 | 2017-09-09 | N |
| Meet other general requirements. | Fire Safety | 2017-07-11 | 2017-09-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-07-11 | 2017-09-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-07-11 | 2017-09-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-07-28 | 2017-09-06 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2017-07-28 | 2017-09-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-28 | 2017-09-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-07-28 | 2017-09-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-28 | 2017-09-06 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-03-16 | 2017-04-10 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-15 | 2016-12-14 | Y |
| Approved construction type or materials. | Fire Safety | 2016-06-14 | 2016-07-24 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-06-14 | 2016-07-24 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-06-14 | 2016-07-24 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-06-14 | 2016-07-24 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-06-14 | 2016-07-24 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-06-06 | 2016-07-24 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-06-06 | 2016-07-24 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-06-06 | 2016-07-24 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-06-06 | 2016-07-24 | N |
