A list of the most recent deficiencies for Sundale Nursing Home. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-22 | 2023-04-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-22 | 2023-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-22 | 2023-04-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-22 | 2023-03-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-22 | 2023-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-22 | 2023-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-22 | 2023-03-21 | 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 | 2023-02-22 | 2023-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-22 | 2023-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-22 | 2023-03-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-11-10 | 2021-12-27 | 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 | 2021-11-10 | 2021-12-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-10 | 2021-12-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-10 | 2021-12-27 | N |
| Respond appropriately to all alleged violations. | Health | 2021-11-10 | 2021-12-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-10 | 2021-12-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-10 | 2021-12-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-10 | 2021-12-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-10 | 2021-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-10 | 2021-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-10 | 2021-12-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-11-09 | 2021-11-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-17 | 2019-09-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-17 | 2019-09-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-17 | 2019-09-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-17 | 2019-09-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-17 | 2019-09-26 | 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 | 2019-07-17 | 2019-09-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-17 | 2019-09-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-17 | 2019-09-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-17 | 2019-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-17 | 2019-09-26 | N |
