Sunset Drive - A Prospera Community
Sunset Drive - a Prospera Community in Mandan, ND — inspection on June 19, 2024.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
F-F604 is considered past non-compliance.
The facility implemented corrective action for the resident affected by the deficient practice by:
* Completing an investigation following the incident, and
* Determining the nurse failed to follow policy in implementing a restraint.
The facility implemented measures to ensure the deficient practice does not recur as follows:
*Placed the nurse (#2) on administrative leave on 06/09/24 to protect all residents during the investigation.
The nurse (#2) terminated from her employment on 06/17/24 after completion of the investigation.
* Provided the CNAs (#3 and #4) with re-education related to Abuse and Neglect during their interviews on 06/09/24, to include reporting of incidents such as the above to the on-call nurse or Director of Nursing in a timely manner.
Additionally, the CNAs were required to review the Proper Use of Restraints PowerPoint by 6/14/2024.
* Disseminated the Proper Use of Restraints PowerPoint on 06/14/24 to all units and required all staff to read and acknowledge.
* Reassigned all staff the Abuse and Neglect of the Vulnerable Adult module, with a due date of July 15, 2024.
Additionally, staff are expected to continue to complete this module annually.
355065
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 355065 B.
Wing 06/19/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Sunset Drive - A Prospera Community 1011 Boundary St NW Mandan, ND 58554
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.