B+
82/100

Sutton Community Home, Inc. Inspection Report, Violations & Safety Grade (Sutton, Nebraska)

1106 North Saunders Avenue, Sutton, Nebraska 68979

Phone: 4027735557

CMS Overall:3/5

Overview & Bed Count

Certified Beds
31
Avg Residents/Day
18.8
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Clay
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing5/5
Quality1/5

Nurse Staffing Check

MetricThis FacilityNebraska AvgDifference
RN Hours per Resident per Day0.900.69+0.20
Total Nurse Hours per Resident per Day5.024.12+0.89
CMS Staffing Rating5/53.3/5-
Nursing Staff Turnover40.6%48.5%-

Health Citation History

13 health citations on record

DateCategoryDescriptionSeverity
2026-06-24Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2025-12-18Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.F – Moderate Harm Potential
2025-12-18Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2025-12-18Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-12-18Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential
2024-09-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-09-12Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2024-09-12Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-09-12Pharmacy Service DeficienciesImplement 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.D – Moderate Harm Potential
2023-09-14Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2023-09-14Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2023-09-14Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2023-09-14Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential

Fire Safety Citation History

14 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-18Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2025-12-18Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2025-12-18Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2025-12-18Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2025-12-18Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-09-12Gas, Vacuum, and Electrical Systems DeficienciesHave a battery powered remote alarm panel in a location accessible by operating personnel.F – Moderate Harm Potential
2024-09-12Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2023-09-14Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2023-09-14Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2023-09-14Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2023-09-14Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2023-09-14Miscellaneous DeficienciesProvide properly sized and located linen or trash receptacles.F – Moderate Harm Potential
2023-09-14Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2023-09-14Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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