Deficiency Records for Prestige Care and Rehabilitation - Sunnyside
Updated as of April 01, 2024
A list of the most recent deficiencies for Prestige Care and Rehabilitation - Sunnyside. 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 | 2023-12-04 | 2023-12-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-10 | 2023-11-03 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-10 | 2023-11-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-10 | 2023-11-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-10 | 2023-11-03 | 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 | 2023-10-10 | 2023-11-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-10 | 2023-11-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-10 | 2023-11-03 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Meet other general requirements. | Fire Safety | 2023-10-04 | 2023-11-03 | 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 | 2023-10-04 | 2023-11-03 | 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 | 2023-10-04 | 2023-11-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-09-19 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-27 | 2023-02-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-14 | 2023-01-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-14 | 2023-01-25 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-08-31 | 2022-10-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-31 | 2022-10-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-31 | 2022-10-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-31 | 2022-10-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-31 | 2022-10-13 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
| Meet other general requirements. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-08-29 | 2022-10-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-30 | 2020-03-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-01-30 | 2020-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-30 | 2020-03-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-30 | 2020-03-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-30 | 2020-03-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-06 | 2020-03-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-06 | 2020-03-24 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-02-06 | 2020-03-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-06 | 2020-03-24 | 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 | 2020-02-06 | 2020-03-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-06 | 2020-03-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-06 | 2020-03-24 | 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 | 2020-02-06 | 2020-03-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-06 | 2020-03-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-06 | 2020-03-24 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-02-06 | 2020-03-24 | N |
| Post nurse staffing information every day. | Health | 2020-02-06 | 2020-03-24 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-02-06 | 2020-03-24 | 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 | 2020-02-06 | 2020-03-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-06 | 2020-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-03-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-02-06 | 2020-03-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-06 | 2020-03-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-06 | 2020-03-24 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2020-02-06 | 2020-03-24 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2020-02-06 | 2020-03-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-30 | 2020-03-23 | 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 | 2020-01-30 | 2020-02-23 | N |
