A list of the most recent deficiencies for Sandpiper Post Acute. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-05 | 2024-01-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-05 | 2024-01-22 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-01-05 | 2024-01-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-16 | 2023-08-16 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-05-16 | 2023-07-24 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-19 | 2023-06-16 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-05-19 | 2023-06-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-19 | 2023-06-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-19 | 2023-06-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-19 | 2023-06-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-19 | 2023-06-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-19 | 2023-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-19 | 2023-06-16 | 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 | 2023-05-19 | 2023-06-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-19 | 2023-06-16 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-05-19 | 2023-06-16 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-19 | 2023-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-19 | 2023-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-19 | 2023-06-16 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-16 | 2023-06-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-16 | 2023-06-13 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-05-16 | 2023-06-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-01 | 2021-09-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-09-01 | 2021-09-30 | 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 | 2021-09-01 | 2021-09-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-01 | 2021-09-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-01 | 2021-09-30 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-01 | 2021-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-01 | 2021-09-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-01 | 2021-09-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-01 | 2021-09-30 | 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 | 2021-09-01 | 2021-09-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-01 | 2021-09-30 | 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 | 2021-09-01 | 2021-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-01 | 2021-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-01 | 2021-09-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-24 | 2021-09-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-24 | 2021-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-24 | 2021-09-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-08-24 | 2021-09-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-22 | 2019-12-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-22 | 2019-12-26 | 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 | 2019-11-22 | 2019-12-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-22 | 2019-12-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-22 | 2019-12-26 | N |
