A list of the most recent deficiencies for Adventist Health Sonora - D/p Snf. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-15 | 2024-01-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-15 | 2024-01-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-16 | 2023-04-07 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-03-16 | 2023-04-07 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-03-16 | 2023-04-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-16 | 2023-04-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-16 | 2023-04-07 | 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 | 2023-03-16 | 2023-04-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-16 | 2023-04-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-16 | 2023-04-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-16 | 2023-04-07 | 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 | 2023-03-16 | 2023-04-07 | 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 | 2023-03-16 | 2023-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-16 | 2023-04-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-16 | 2023-04-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-16 | 2023-04-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-16 | 2023-04-07 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-03-23 | 2023-03-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-23 | 2023-03-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-23 | 2023-03-28 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-03-23 | 2023-03-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-23 | 2023-03-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-20 | 2022-08-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-04 | 2022-08-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-17 | 2022-04-17 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-09-13 | 2021-10-07 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-08-01 | 2019-08-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-01 | 2019-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-01 | 2019-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-01 | 2019-08-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-01 | 2019-08-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-07 | 2019-07-08 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-06-07 | 2019-07-08 | 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 | 2019-06-07 | 2019-07-08 | 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 | 2019-06-07 | 2019-07-08 | N |
| Develop a communication plan. | Fire Safety | 2018-04-04 | 2018-04-24 | N |
| Use approved construction type or materials. | Fire Safety | 2018-04-04 | 2018-04-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-04-04 | 2018-04-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-04 | 2018-04-24 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-04-04 | 2018-04-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-22 | 2018-04-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-22 | 2018-04-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-03-22 | 2018-04-19 | N |
