Deficiency Records for Sunbury Skilled Nursing and Rehabilitation Center
Updated as of December 01, 2018
This is not the most recent data for Sunbury Skilled Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Sunbury Skilled Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2018-02-08 | 2018-03-29 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-02-08 | 2018-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-08 | 2018-03-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-02-08 | 2018-03-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-02-08 | 2018-03-29 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-02-02 | 2018-03-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-02 | 2018-03-22 | 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 | 2018-02-02 | 2018-03-22 | N |
| Provide activities to meet all resident's needs. | Health | 2018-02-02 | 2018-03-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-02 | 2018-03-22 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-02-02 | 2018-03-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-02 | 2018-03-22 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-02-02 | 2018-03-22 | 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 | 2018-02-02 | 2018-03-22 | 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 ne | Health | 2018-02-02 | 2018-03-22 | N |
| Provide or obtain dental services for each resident. | Health | 2018-02-02 | 2018-03-22 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2018-02-02 | 2018-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-02 | 2018-03-22 | 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 | 2017-09-18 | 2017-10-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-18 | 2017-10-19 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-01-11 | 2017-03-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-01-11 | 2017-03-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-11 | 2017-03-02 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-06 | 2017-02-23 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-01-06 | 2017-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-06 | 2017-02-23 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-06 | 2017-02-23 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-01-06 | 2017-02-23 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-01-06 | 2017-02-23 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-01-06 | 2017-02-23 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-01-06 | 2017-02-23 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-06 | 2017-02-23 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-09-06 | 2016-10-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-07-27 | 2016-08-15 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-02-05 | 2016-03-08 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2016-02-05 | 2016-03-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-05 | 2016-03-08 | N |
| Provide or obtain dental services for each resident. | Health | 2016-02-05 | 2016-03-08 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-02-05 | 2016-03-08 | N |
| Keep complete, dated laboratory records in the resident's file. | Health | 2016-02-05 | 2016-03-08 | N |
