A list of the most recent deficiencies for Sunset Manor Avera Health. 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? |
|---|---|---|---|---|
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-07-13 | 2023-08-25 | N |
| 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 | 2023-07-11 | 2023-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-12 | 2022-05-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-13 | 2022-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-02-09 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2022-01-12 | 2022-01-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-01-12 | 2022-01-27 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-08-08 | 2019-09-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-08 | 2019-08-27 | 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 | 2019-08-08 | 2019-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-08 | 2019-08-26 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-08-08 | 2019-08-20 | N |
