A list of the most recent deficiencies for Sandstone Brigham City. 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-06-27 | 2022-07-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-06-27 | 2022-07-29 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-06-27 | 2022-07-29 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-06-27 | 2022-07-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-27 | 2022-07-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-27 | 2022-07-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-22 | 2022-07-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-22 | 2022-07-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-06-22 | 2022-07-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-22 | 2022-07-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-20 | 2020-03-15 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2020-02-20 | 2020-03-15 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2020-02-20 | 2020-03-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-20 | 2020-03-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-19 | 2020-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-19 | 2020-03-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-20 | 2019-12-04 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-01-24 | 2019-02-27 | 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 | 2019-01-24 | 2019-02-27 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-01-24 | 2019-02-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-24 | 2019-02-27 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-01-24 | 2019-02-27 | 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 | 2019-01-24 | 2019-02-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-24 | 2019-02-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-24 | 2019-02-27 | 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 | 2019-01-24 | 2019-02-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-01-24 | 2019-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-24 | 2019-02-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-30 | 2019-02-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-30 | 2019-02-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-01-30 | 2019-02-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-01-30 | 2019-02-27 | N |
