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Deficiency Records for Sunshine Health and Rehab

View the most recent health deficiencies and inspection results for Sunshine Health and Rehab. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Sunshine Health and Rehab. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2026-01-30 2026-03-13 N
Provide and implement an infection prevention and control program. Health 2026-01-30 2026-03-13 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2026-01-30 2026-03-13 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2026-01-30 2026-03-13 N
Ensure medication error rates are not 5 percent or greater. Health 2026-01-30 2026-03-13 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2026-01-30 2026-03-13 N
Ensure each resident receives an accurate assessment. Health 2026-01-30 2026-03-13 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 2026-01-30 2026-03-13 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2026-01-30 2026-03-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2026-01-30 2026-02-12 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2026-01-30 2026-02-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2026-01-30 2026-02-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2026-01-30 2026-02-12 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-06-16 2025-07-25 Y
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2025-06-16 2025-07-25 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2025-06-16 2025-07-25 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-10-29 2024-12-20 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-10-29 2024-12-20 N
Ensure medication error rates are not 5 percent or greater. Health 2024-10-29 2024-12-20 N
Provide and implement an infection prevention and control program. Health 2024-10-29 2024-12-20 N
Implement a program that monitors antibiotic use. Health 2024-10-29 2024-12-20 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-10-29 2024-12-20 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-10-29 2024-12-20 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-10-29 2024-12-20 N
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. Health 2024-10-29 2024-12-20 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-10-29 2024-12-20 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2024-10-29 2024-12-20 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-10-29 2024-12-20 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2024-10-29 2024-12-20 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-10-29 2024-11-27 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 2024-10-29 2024-11-27 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-10-29 2024-11-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-10-29 2024-11-27 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-10-29 2024-11-27 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-10-29 2024-11-27 N
Address patient/client population and determine types of services needed. Fire Safety 2024-10-29 2024-11-27 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-10-29 2024-11-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-07 2024-07-11 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-07 2024-07-11 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-26 2024-03-01 Y
Provide and implement an infection prevention and control program. Health 2023-06-08 2023-07-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-08 2023-07-21 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 2023-06-08 2023-07-21 N
Respond appropriately to all alleged violations. Health 2023-06-08 2023-07-21 N
Address subsistence needs for staff and patients. Fire Safety 2023-06-08 2023-07-13 N
Establish policies and procedures including evacuation. Fire Safety 2023-06-08 2023-07-13 N
Establish emergency prep training and testing. Fire Safety 2023-06-08 2023-07-13 N
Establish staff and initial training requirements. Fire Safety 2023-06-08 2023-07-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-06-08 2023-07-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-06-08 2023-07-13 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2023-06-08 2023-07-13 N

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