A list of the most recent deficiencies for Sunrise View Convalescent Ctr. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-10-16 | 2023-11-30 | 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 | 2023-10-16 | 2023-11-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-16 | 2023-11-30 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-16 | 2023-11-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-16 | 2023-11-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-16 | 2023-11-30 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-16 | 2023-11-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-16 | 2023-11-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-16 | 2023-11-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-16 | 2023-11-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-16 | 2023-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-16 | 2023-11-30 | 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 | 2023-10-16 | 2023-11-30 | N |
| Provide activities to meet all resident's needs. | Health | 2023-10-16 | 2023-11-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-10-16 | 2023-11-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-16 | 2023-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-16 | 2023-11-30 | 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 | 2023-10-16 | 2023-11-30 | 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 | 2023-10-16 | 2023-11-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-16 | 2023-11-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-10-16 | 2023-11-30 | 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 | 2023-10-16 | 2023-11-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-16 | 2023-11-30 | N |
| Provide or obtain dental services for each resident. | Health | 2023-10-16 | 2023-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-16 | 2023-11-30 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-10-16 | 2023-11-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-10-10 | 2023-11-24 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-10-10 | 2023-11-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-10-10 | 2023-11-24 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-10-10 | 2023-11-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-10-10 | 2023-11-24 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-10-10 | 2023-11-24 | N |
| Develop a communication plan. | Fire Safety | 2023-10-10 | 2023-11-24 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-10-10 | 2023-11-24 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-10-10 | 2023-11-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-10-10 | 2023-11-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-10 | 2023-11-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-10 | 2023-11-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-10 | 2023-11-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-10 | 2023-11-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-10 | 2023-11-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-08 | 2022-10-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-08-08 | 2022-10-07 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-08-18 | 2022-09-15 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-08-18 | 2022-09-15 | 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 | 2022-08-18 | 2022-09-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-18 | 2022-09-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-18 | 2022-09-15 | N |
| Respond appropriately to all alleged violations. | Health | 2022-08-18 | 2022-09-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-18 | 2022-09-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-18 | 2022-09-15 | 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 | 2022-08-18 | 2022-09-15 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-08-18 | 2022-09-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-18 | 2022-09-15 | N |
| Provide activities to meet all resident's needs. | Health | 2022-08-18 | 2022-09-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-18 | 2022-09-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-08-18 | 2022-09-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-18 | 2022-09-15 | 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 | 2022-08-18 | 2022-09-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-18 | 2022-09-15 | 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 | 2022-08-18 | 2022-09-15 | 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 | 2022-08-18 | 2022-09-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-08-18 | 2022-09-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-08-18 | 2022-09-15 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-08-18 | 2022-09-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-18 | 2022-09-15 | 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 | 2022-08-18 | 2022-09-15 | 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 | 2022-08-18 | 2022-09-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-18 | 2022-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-18 | 2022-09-15 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-18 | 2022-09-15 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-08-18 | 2022-09-15 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-08-18 | 2022-09-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-18 | 2022-09-15 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2022-08-18 | 2022-09-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-18 | 2022-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-18 | 2022-09-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-08-18 | 2022-09-15 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-18 | 2022-09-15 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-08-18 | 2022-09-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-08-18 | 2022-09-15 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2022-08-18 | 2022-09-15 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-08-18 | 2022-09-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-08-18 | 2022-09-15 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Develop a communication plan. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-08-08 | 2022-09-07 | N |
| Respond appropriately to all alleged violations. | Health | 2022-03-11 | 2022-04-28 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-11 | 2022-04-28 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-11 | 2022-04-28 | Y |
| Report COVID19 data to residents and families. | Health | 2022-03-11 | 2022-04-28 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-11 | 2022-04-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-17 | 2021-12-27 | Y |
| 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 | 2021-11-17 | 2021-12-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-08 | 2021-08-13 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-07-08 | 2021-08-13 | Y |
| 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 | 2021-07-08 | 2021-08-13 | Y |
| 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 | 2019-08-01 | 2019-10-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-08-01 | 2019-10-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-01 | 2019-10-03 | 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 | 2019-08-01 | 2019-10-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-01 | 2019-10-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-08-01 | 2019-10-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-01 | 2019-09-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-01 | 2019-09-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-04 | 2019-09-16 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-08-04 | 2019-09-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-04 | 2019-09-16 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-04 | 2019-09-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-04 | 2019-09-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-04 | 2019-09-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-04 | 2019-09-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-04 | 2019-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-04 | 2019-09-16 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-08-04 | 2019-09-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-04 | 2019-09-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-04 | 2019-09-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-08-04 | 2019-09-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-04 | 2019-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-04 | 2019-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-04 | 2019-09-16 | 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 | 2019-08-04 | 2019-09-16 | 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 | 2019-08-04 | 2019-09-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-04 | 2019-09-16 | 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 | 2019-08-04 | 2019-09-16 | 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 | 2019-08-04 | 2019-09-16 | 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 | 2019-08-04 | 2019-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-04 | 2019-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-04 | 2019-09-16 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-08-04 | 2019-09-16 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-08-04 | 2019-09-16 | 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 | 2019-08-04 | 2019-09-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-08-01 | 2019-09-04 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-08-01 | 2019-09-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-01 | 2019-09-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-01 | 2019-09-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-01 | 2019-09-04 | N |
