Deficiency Records for Sunnyside Presbyterian Retirement Community

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Updated as of March 01, 2024

A list of the most recent deficiencies for Sunnyside Presbyterian Retirement Community. 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 implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-02-09 2023-05-12 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-02-09 2023-05-12 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 2021-05-20 2021-06-15 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 2021-05-20 2021-06-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-05-24 2021-06-09 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2021-05-24 2021-06-09 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2019-05-13 2019-06-18 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2019-05-13 2019-06-18 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-05-13 2019-06-18 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-05-13 2019-06-18 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-05-13 2019-06-18 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-05-13 2019-06-18 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-05-13 2019-06-18 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-04-25 2019-05-14 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2019-04-25 2019-05-14 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 2019-04-25 2019-05-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-04-25 2019-05-14 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2019-04-25 2019-05-14 N