Deficiency Records for Adventist Health Sonora - D/p Snf
Updated as of March 01, 2023
This is not the most recent data for Adventist Health Sonora - D/p Snf. For the most recent information, click here.
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 | 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-11-04 | 2020-11-23 | 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 |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-05-12 | 2017-07-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-12 | 2017-07-13 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-05-12 | 2017-06-21 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-12 | 2017-06-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-12 | 2017-06-13 | N |
| Use approved construction type or materials. | Fire Safety | 2017-05-03 | 2017-05-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-05-03 | 2017-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-03 | 2017-05-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-03 | 2017-05-25 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-05-03 | 2017-05-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-03 | 2017-05-25 | N |
