A list of the most recent deficiencies for Sandstone American Fork. 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 maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-01 | 2022-04-30 | N |
| Meet other general requirements. | Fire Safety | 2022-03-01 | 2022-04-30 | 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 | 2022-03-01 | 2022-04-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-01 | 2022-04-30 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-02-28 | 2022-04-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-28 | 2022-04-15 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-02-28 | 2022-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-28 | 2022-04-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-02-28 | 2022-04-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-28 | 2022-04-15 | N |
| Keep all essential equipment working safely. | Health | 2022-02-28 | 2022-04-15 | N |
| Ensure resident rooms meet each resident's needs. | Health | 2022-02-28 | 2022-04-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-02-28 | 2022-04-15 | N |
| Ensure each resident room has a window to the outside that meets requirements | Health | 2022-02-28 | 2022-04-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-28 | 2022-04-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-28 | 2022-04-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-28 | 2022-04-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-28 | 2022-04-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-28 | 2022-04-15 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-28 | 2022-04-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-28 | 2022-04-15 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-03 | 2020-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-03 | 2020-01-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-05 | 2020-01-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-05 | 2020-01-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-05 | 2020-01-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-12-05 | 2020-01-20 | 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 | 2019-12-05 | 2020-01-20 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-12-05 | 2020-01-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-05 | 2020-01-20 | 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 | 2019-12-05 | 2020-01-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-13 | 2019-02-06 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-12-13 | 2019-02-06 | N |
| Respond appropriately to all alleged violations. | Health | 2018-12-13 | 2019-02-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-13 | 2019-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-13 | 2019-02-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-12-13 | 2019-02-06 | 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 | 2018-12-13 | 2019-02-06 | 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 | 2018-12-13 | 2019-02-06 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-12-13 | 2019-02-06 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2018-12-13 | 2019-02-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-13 | 2019-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-13 | 2019-02-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-12-13 | 2019-02-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-12-17 | 2019-01-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-17 | 2019-01-31 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-12-17 | 2019-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-17 | 2019-01-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-12-17 | 2019-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-17 | 2019-01-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-12-17 | 2019-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-17 | 2019-01-31 | N |
