Sundance Skilled Nursing And Rehabilitation
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Resident #1 said he had started to have stomach pain. RN #2 said she contacted Resident #1's representative about the incident and transfer to the hospital. RN #2 said all facility staff received re-education about hazardous items after the incident. RN #2 said the staff audited the building to be certain there were no hazardous items accessible to residents.The PCP was interviewed on [DATE REDACTED] at 12:15 p.m. The PCP said on [DATE REDACTED], a staff member notified him that Resident #1 had consumed drain cleaner. The PCP said he reviewed the MSDS for the product and contacted a poison control center. The PCP said he was told the resident had blue color on his lips, and he estimated the resident drank approximately 10 ml of the drain cleaner, based upon staff reports and the amount remaining in the bottle.
The PCP said Resident #1 appeared stable, but was sent to the hospital out of an abundance of caution, as
he began to have abdominal pain. The PCP said the facility did a PIP related to the incident and addressed
the cause of the ingestion. He said if Resident #1 had ingested more drain cleaner he would have been in trouble, as it could have caused a hole through his esophagus or his stomach.CNA #1 was interviewed on [DATE REDACTED] at 12:45 p.m. CNA #1 said on [DATE REDACTED], she saw Resident #1 sitting in his wheelchair in the hallway drinking from a bottle that contained a chemical. CNA #1 said she took the bottle away from the resident.
CNA #1 said she realized Resident #1 had drank some of the chemical when she noticed his lips and tongue were blue. She said she notified the charge nurse, and the charge nurse and PCP evaluated the resident. CNA #1 said the facility had all staff check the facility, including all residents' rooms for hazardous items, including chemicals, following the incident on [DATE REDACTED]. CNA #1 said the facility provided inservice training after the incident for all staff, which included both in person and online training and included the need to ensure residents could not access hazardous items.The social services director (SSD) was interviewed on [DATE REDACTED] at 9:30 a.m. The SSD said she received hazardous material training upon hire and again recently completed training in person and online after the incident involving Resident #1. The SSD said the training focused on the need to protect residents from hazardous items. The SSD said she was one of the staff members who were doing weekly rounds to check for any hazardous items. She said the extensive training post-incident for all staff helped to make the staff sensitive to the potential hazards that existed to residents.
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SUNDANCE SKILLED NURSING AND REHABILITATION in COLORADO SPRINGS, CO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in COLORADO SPRINGS, CO, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SUNDANCE SKILLED NURSING AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.