Deficiency Records for Sandy Lake Rehabilitation and Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Sandy Lake Rehabilitation and Care Center. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-30 | 2023-09-29 | Y |
| Post nurse staffing information every day. | Health | 2023-08-30 | 2023-09-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-30 | 2023-09-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-30 | 2023-09-29 | Y |
| 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 | 2023-06-08 | 2023-06-09 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-08 | 2023-06-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-08 | 2023-06-09 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-08 | 2023-06-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-06-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-08 | 2023-06-09 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-27 | 2023-04-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-27 | 2023-04-18 | 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 | 2023-01-10 | 2023-02-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-10 | 2023-02-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-10 | 2023-02-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-10 | 2023-02-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-04 | 2022-11-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-06 | 2022-07-29 | Y |
| 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 | 2022-06-24 | 2022-07-01 | Y |
| 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 | 2022-04-28 | 2022-05-25 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-27 | 2022-05-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-27 | 2022-05-25 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2022-04-27 | 2022-05-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-03-03 | 2022-04-01 | Y |
| 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 | 2022-03-03 | 2022-04-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-03 | 2022-04-01 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-02-17 | 2022-03-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-17 | 2022-03-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-17 | 2022-03-31 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-17 | 2022-03-31 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-17 | 2022-03-31 | 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 | 2022-02-17 | 2022-03-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-17 | 2022-03-31 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-29 | 2021-06-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-04-29 | 2021-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-29 | 2021-06-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-29 | 2021-06-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-29 | 2021-06-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-05-03 | 2021-05-24 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-05-03 | 2021-05-24 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-05-03 | 2021-05-24 | 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 | 2019-11-13 | 2019-12-23 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-11-13 | 2019-12-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-13 | 2019-12-23 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-11-13 | 2019-12-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-11-15 | 2019-12-15 | 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 | 2019-11-15 | 2019-12-15 | N |
