A list of the most recent deficiencies for Sandstone North Park. 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 must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-01-11 | 2024-02-29 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-07 | 2022-12-28 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-07 | 2022-12-28 | Y |
Respond appropriately to all alleged violations. | Health | 2022-12-07 | 2022-12-28 | Y |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-12-07 | 2022-12-28 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-03-29 | 2022-05-02 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-29 | 2022-05-02 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-03-29 | 2022-05-02 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-29 | 2022-05-02 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-03-29 | 2022-05-02 | N |
Provide and implement an infection prevention and control program. | Health | 2022-03-29 | 2022-05-02 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-29 | 2022-05-02 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-03-24 | 2022-05-02 | N |
Use approved construction type or materials. | Fire Safety | 2022-03-24 | 2022-05-02 | 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 | 2022-03-24 | 2022-05-02 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-03-24 | 2022-05-02 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-24 | 2022-05-02 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-07 | 2020-01-07 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-07 | 2020-01-07 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-07 | 2020-01-07 | 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 | 2019-11-07 | 2020-01-07 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-11-07 | 2020-01-07 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-11-07 | 2020-01-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-07 | 2020-01-07 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-07 | 2020-01-07 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-11-05 | 2019-12-03 | 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 | 2019-11-05 | 2019-12-03 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-05 | 2019-12-03 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-05 | 2019-12-03 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-07 | 2019-11-07 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-30 | 2018-10-15 | 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 | 2018-08-30 | 2018-10-15 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-08-30 | 2018-10-15 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-30 | 2018-10-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-30 | 2018-10-15 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-08-30 | 2018-10-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-30 | 2018-10-15 | 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 | 2018-08-30 | 2018-10-15 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-30 | 2018-10-15 | 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 | 2018-08-30 | 2018-10-15 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-08-30 | 2018-10-15 | N |
Keep complete, dated laboratory records in the resident's record. | Health | 2018-08-30 | 2018-10-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-30 | 2018-10-15 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-30 | 2018-10-15 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-30 | 2018-09-26 | 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 | 2018-08-30 | 2018-09-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-30 | 2018-09-26 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-08-30 | 2018-09-26 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-30 | 2018-09-26 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-30 | 2018-09-26 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-30 | 2018-09-26 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-08-30 | 2018-09-26 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-30 | 2018-09-26 | N |