Deficiency Records for Sugar Creek Station Skilled Nursing and Rehabilita
Updated as of February 01, 2021
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-11 | 2019-10-25 | Y |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2019-09-11 | 2019-10-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-11 | 2019-10-25 | Y |
| Meet other general requirements. | Fire Safety | 2019-07-23 | 2019-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-23 | 2019-08-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-23 | 2019-08-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-18 | 2019-08-30 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-07-18 | 2019-08-30 | 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 | 2019-07-18 | 2019-08-30 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-07-18 | 2019-08-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-18 | 2019-08-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-07-18 | 2019-08-30 | 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 | 2019-07-18 | 2019-08-30 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-07-18 | 2019-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-19 | 2018-08-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-06-19 | 2018-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-19 | 2018-08-15 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2018-06-19 | 2018-08-15 | 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 | 2018-06-15 | 2018-08-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-15 | 2018-08-14 | Y |
| 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 |
