Deficiency Records for Quality Life Services - Sugar Creek
Updated as of March 01, 2022
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? |
|---|---|---|---|---|
| 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 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-11 | 2021-03-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-11 | 2021-03-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-29 | 2020-07-16 | 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 | 2019-06-20 | 2019-08-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-20 | 2019-08-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-20 | 2019-08-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-06-20 | 2019-08-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-06-20 | 2019-08-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-06-26 | 2019-07-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-06-26 | 2019-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-26 | 2019-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-26 | 2019-07-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-15 | 2019-06-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-15 | 2019-06-04 | Y |
| 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 an enclosure around a vertical opening shaft. | 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 |
