Deficiency Records for Sunrise View Convalescent Ctr
Updated as of May 01, 2022
This is not the most recent data for Sunrise View Convalescent Ctr. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2022-03-11 | 2022-04-28 | 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 | 2022-03-11 | 2022-04-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-11 | 2022-04-28 | N |
| Report COVID19 data to residents and families. | Health | 2022-03-11 | 2022-04-28 | 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 | 2022-03-11 | 2022-04-28 | N |
| 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 |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-01-13 | 2021-04-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-01-13 | 2021-04-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-01-13 | 2021-02-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-13 | 2021-02-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-05-01 | 2020-05-29 | 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 |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-05-02 | 2018-06-06 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-05-02 | 2018-06-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-05-02 | 2018-06-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-02 | 2018-06-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-02 | 2018-06-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-05-02 | 2018-06-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-02 | 2018-06-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-02 | 2018-06-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-02 | 2018-06-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-05-02 | 2018-06-06 | 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 | 2018-05-09 | 2018-05-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-09 | 2018-05-31 | 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 | 2018-05-09 | 2018-05-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-09 | 2018-05-31 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-05-09 | 2018-05-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-09 | 2018-05-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-09 | 2018-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-09 | 2018-05-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-05-09 | 2018-05-31 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-05-09 | 2018-05-31 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2018-05-02 | 2018-05-05 | N |
| Use approved construction type or materials. | Fire Safety | 2017-03-22 | 2017-05-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-03-22 | 2017-05-04 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-03-28 | 2017-04-25 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-28 | 2017-04-25 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-03-28 | 2017-04-25 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-03-28 | 2017-04-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-28 | 2017-04-25 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-03-28 | 2017-04-25 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-03-28 | 2017-04-25 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-03-28 | 2017-04-25 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-03-28 | 2017-04-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-28 | 2017-04-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-03-28 | 2017-04-25 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-28 | 2017-04-25 | N |
