Deficiency Records for Sugar Creek Station Skilled Nursing and Rehabilita
Updated as of March 01, 2024
A list of the most recent deficiencies for Sugar Creek Station Skilled Nursing and Rehabilita. 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? |
|---|---|---|---|---|
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-10-20 | 2023-12-01 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-10-20 | 2023-12-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-20 | 2023-12-01 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-20 | 2023-12-01 | 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 necessary and PRN use is limited. | Health | 2023-10-20 | 2023-12-01 | N |
| 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 | 2023-10-20 | 2023-12-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-10-20 | 2023-12-01 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-24 | 2023-11-24 | 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 | 2022-11-28 | 2023-01-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-28 | 2023-01-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-28 | 2023-01-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-28 | 2023-01-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-28 | 2023-01-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-28 | 2023-01-27 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-11-28 | 2023-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-28 | 2023-01-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-28 | 2023-01-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-16 | 2022-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-16 | 2022-12-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-14 | 2022-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-14 | 2022-03-01 | 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 | 2022-01-14 | 2022-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-14 | 2022-03-01 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-01-20 | 2022-02-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-01-20 | 2022-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-20 | 2022-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-20 | 2022-02-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-20 | 2022-02-28 | N |
