Deficiency Records for Sugar Creek Station Skilled Nursing and Rehabilita
Updated as of July 01, 2018
This is not the most recent data for Sugar Creek Station Skilled Nursing and Rehabilita. For the most recent information, click here.
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? |
---|---|---|---|---|
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-25 | 2018-04-06 | Y |
Provide and implement an infection prevention and control program. | Health | 2018-02-25 | 2018-04-06 | Y |
Meet other general requirements. | Fire Safety | 2017-05-31 | 2017-07-25 | N |
Use approved construction type or materials. | Fire Safety | 2017-05-31 | 2017-07-25 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2017-05-31 | 2017-07-25 | 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 | 2017-05-31 | 2017-07-25 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-05-31 | 2017-07-25 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-31 | 2017-07-25 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-31 | 2017-07-25 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-31 | 2017-07-25 | N |
Meet other general requirements that are deficient. | Fire Safety | 2017-05-31 | 2017-07-25 | N |
Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2017-05-31 | 2017-07-25 | 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 | 2017-05-26 | 2017-07-10 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-05-26 | 2017-07-10 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-26 | 2017-07-10 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-23 | 2016-08-12 | N |
Completely assess the resident at least every twelve months. | Health | 2016-06-23 | 2016-08-12 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2016-06-23 | 2016-08-12 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-06-23 | 2016-08-12 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-23 | 2016-08-12 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-06-23 | 2016-08-12 | 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 | 2016-06-23 | 2016-08-12 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-23 | 2016-08-12 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-23 | 2016-08-12 | N |
A two-hour-resistant firewall separation. | Fire Safety | 2016-06-07 | 2016-07-15 | N |
Approved construction type or materials. | Fire Safety | 2016-06-07 | 2016-07-15 | N |
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2016-06-07 | 2016-07-15 | N |
Corridor and hallway doors that block smoke. | Fire Safety | 2016-06-07 | 2016-07-15 | N |
Signs that state that exit doors are to be kept closed. | Fire Safety | 2016-06-07 | 2016-07-15 | N |
Exits that are accessible at all times. | Fire Safety | 2016-06-07 | 2016-07-15 | N |
An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-06-07 | 2016-07-15 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-06-07 | 2016-07-15 | N |
Portable fire extinguishers. | Fire Safety | 2016-06-07 | 2016-07-15 | N |
Have other fire safety features required by fire safety codes. | Fire Safety | 2016-06-07 | 2016-07-15 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2016-06-07 | 2016-07-15 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2016-06-07 | 2016-07-15 | N |
A two-hour-resistant firewall separation. | Fire Safety | 2015-05-13 | 2015-07-31 | N |
Approved construction type or materials. | Fire Safety | 2015-05-13 | 2015-07-31 | N |
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-05-13 | 2015-07-31 | N |
Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-05-13 | 2015-07-31 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-05-13 | 2015-07-31 | N |
Exits that are accessible at all times. | Fire Safety | 2015-05-13 | 2015-07-31 | N |
A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-05-13 | 2015-07-31 | N |
Properly maintained smoke detectors. | Fire Safety | 2015-05-13 | 2015-07-31 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-05-13 | 2015-07-31 | N |
Properly protected cooking facilities. | Fire Safety | 2015-05-13 | 2015-07-31 | N |
Have other fire safety features required by fire safety codes. | Fire Safety | 2015-05-13 | 2015-07-31 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2015-05-13 | 2015-07-31 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-05-29 | 2015-07-10 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-05-29 | 2015-07-10 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2015-05-29 | 2015-07-10 | N |
Dispose of garbage and refuse properly. | Health | 2015-05-29 | 2015-07-10 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-05-29 | 2015-07-10 | N |