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Deficiency Records for Leisure Homestead at Stafford

A list of the most recent deficiencies for Leisure Homestead at Stafford. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Leisure Homestead at Stafford. 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?
Ensure each resident receives an accurate assessment. Health 2023-09-21 2023-10-21 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-09-21 2023-10-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-21 2023-10-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-21 2023-10-21 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-09-21 2023-10-21 N
Provide and implement an infection prevention and control program. Health 2023-09-21 2023-10-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-09 2023-10-13 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-10-09 2023-10-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-10-09 2023-10-13 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-10-09 2023-10-13 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-07-15 2022-08-15 Y
Respond appropriately to all alleged violations. Health 2022-07-15 2022-08-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-15 2022-08-15 Y
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. Health 2022-07-15 2022-08-15 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-12-08 2022-01-22 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-12-08 2022-01-22 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-12-08 2022-01-22 Y
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. Health 2021-12-08 2022-01-22 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-12-08 2022-01-22 Y
Provide and implement an infection prevention and control program. Health 2021-12-08 2022-01-22 Y
Have simulated fire drills held at unexpected times. Fire Safety 2022-01-05 2022-01-13 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2020-02-18 2020-03-17 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2020-02-18 2020-03-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-01-24 2020-02-06 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2020-01-24 2020-02-06 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2020-01-24 2020-02-06 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-01-24 2020-02-06 N

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