Sunset Home Inc

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Potential for more than minimal harm (widespread) Nutrition and Dietary Complaint

Tag F0801 · severity code F · corrected Apr 15, 2025

Provide and implement an infection prevention and control program.

Potential for more than minimal harm (widespread) Infection Control Complaint

Tag F0880 · severity code F · corrected Apr 15, 2025

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.

Potential for more than minimal harm (pattern) Pharmacy Service Complaint

Tag F0761 · severity code E · corrected Apr 15, 2025

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm (isolated) Pharmacy Service Complaint

Tag F0757 · severity code D · corrected Apr 15, 2025

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm (isolated) Pharmacy Service Complaint

Tag F0756 · severity code D · corrected Apr 15, 2025

Provide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0692 · severity code D · corrected Apr 15, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0690 · severity code D · corrected Apr 15, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0686 · severity code D · corrected Apr 15, 2025

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Potential for more than minimal harm (isolated) Resident Rights Complaint

Tag F0625 · severity code D · corrected Apr 15, 2025

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Potential for more than minimal harm (isolated) Resident Rights Complaint

Tag F0622 · severity code D · corrected Apr 15, 2025

Respond appropriately to all alleged violations.

Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint

Tag F0610 · severity code D · corrected Apr 15, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm (isolated) Resident Rights Complaint

Tag F0550 · severity code D · corrected Apr 15, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint

Tag F0600 · severity code D · corrected Apr 15, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint

Tag F0609 · severity code D · corrected Apr 15, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Actual harm to residents (isolated) Resident Rights Complaint

Tag F0550 · severity code G · corrected Dec 31, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm to residents (isolated) Quality of Life and Care Complaint

Tag F0686 · severity code G · corrected Nov 3, 2023

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Immediate jeopardy to resident health or safety (pattern) Quality of Life and Care

Tag F0678 · severity code K · corrected Aug 17, 2023

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Potential for more than minimal harm (widespread) Infection Control

Tag F0882 · severity code F · corrected Aug 17, 2023

Provide and implement an infection prevention and control program.

Potential for more than minimal harm (widespread) Infection Control

Tag F0880 · severity code F · corrected Aug 17, 2023

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Potential for more than minimal harm (widespread) Administration

Tag F0868 · severity code F · corrected Aug 17, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm (widespread) Administration

Tag F0867 · severity code F · corrected Aug 17, 2023

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Potential for more than minimal harm (widespread) Administration

Tag F0835 · severity code F · corrected Aug 17, 2023

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.

Potential for more than minimal harm (pattern) Nursing and Physician Services

Tag F0726 · severity code E · corrected Aug 17, 2023

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.

Potential for more than minimal harm (pattern) Pharmacy Service

Tag F0761 · severity code E · corrected Aug 17, 2023

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm (pattern) Resident Assessment and Care Planning

Tag F0636 · severity code E · corrected Aug 17, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning

Tag F0657 · severity code D · corrected Aug 17, 2023

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.

Potential for more than minimal harm (isolated) Pharmacy Service

Tag F0758 · severity code D · corrected Aug 17, 2023

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm (isolated) Pharmacy Service

Tag F0756 · severity code D · corrected Aug 17, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0689 · severity code D · corrected Aug 17, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning

Tag F0656 · severity code D · corrected Aug 17, 2023

Assess the resident when there is a significant change in condition

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning

Tag F0637 · severity code D · corrected Aug 17, 2023

Ensure residents have reasonable access to and privacy in their use of communication methods.

Potential for minimal harm (widespread) Resident Rights

Tag F0576 · severity code C · corrected Aug 17, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm (widespread) Nutrition and Dietary

Tag F0812 · severity code F · corrected Feb 4, 2022

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm (pattern) Nutrition and Dietary

Tag F0804 · severity code E · corrected Feb 4, 2022

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm (pattern) Resident Rights

Tag F0582 · severity code E · corrected Feb 4, 2022

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Potential for more than minimal harm (isolated) Administration

Tag F0849 · severity code D · corrected Feb 4, 2022

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.

Potential for more than minimal harm (isolated) Pharmacy Service

Tag F0758 · severity code D · corrected Feb 4, 2022

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm (isolated) Pharmacy Service

Tag F0756 · severity code D · corrected Feb 4, 2022

Provide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0692 · severity code D · corrected Feb 4, 2022

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Potential for more than minimal harm (isolated) Resident Rights

Tag F0625 · severity code D · corrected Feb 4, 2022

Reasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm (isolated) Resident Rights

Tag F0558 · severity code D · corrected Feb 4, 2022