Deficiency Records for Sandstone Nephi

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Updated as of March 01, 2024

A list of the most recent deficiencies for Sandstone Nephi. 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?
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-06-05 2023-06-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-05 2023-06-20 N
Provide and implement an infection prevention and control program. Health 2023-06-05 2023-06-20 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-05-31 2023-06-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-31 2023-06-08 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-05-31 2023-05-31 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2021-09-02 2021-10-17 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-09-02 2021-10-17 N
Provide and implement an infection prevention and control program. Health 2021-09-02 2021-10-17 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-08-30 2021-09-10 N
Meet requirements for the use of electrical equipment. Fire Safety 2021-08-30 2021-09-10 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 2019-05-23 2019-06-20 N
Honor each resident's preferences, choices, values and beliefs. Health 2019-05-23 2019-06-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-05-23 2019-06-20 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-05-23 2019-06-20 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 2019-05-23 2019-06-20 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-05-23 2019-06-20 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 2019-05-23 2019-06-20 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 2019-05-23 2019-06-20 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2019-05-23 2019-06-20 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2019-05-23 2019-06-20 N
Provide bedrooms that don't allow residents to see each other when privacy is needed. Health 2019-05-23 2019-06-20 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-05-30 2019-06-14 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-05-30 2019-06-14 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-05-30 2019-06-14 N