Deficiency Records for Sugar Creek Station Skilled Nursing and Rehabilita
Updated as of September 01, 2022
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? |
|---|---|---|---|---|
| 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 |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-03-02 | 2021-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-02 | 2021-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-02 | 2021-04-30 | N |
| Respond appropriately to all alleged violations. | Health | 2021-02-26 | 2021-04-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-02-26 | 2021-04-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-02-26 | 2021-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-26 | 2021-04-23 | N |
| 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 |
| 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 |
| 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 |
