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Deficiency Records for Sterling Care at South Mountain
A list of the most recent deficiencies for Sterling Care at South Mountain. 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 Sterling Care at South Mountain. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-06 | 2022-02-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-06 | 2022-02-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-06 | 2022-02-22 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-01-06 | 2022-02-22 | 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 | 2022-01-06 | 2022-02-22 | 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 | 2022-01-06 | 2022-02-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-06 | 2022-02-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-06 | 2022-02-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-02-22 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-11-01 | 2019-12-17 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-11-01 | 2019-12-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-11-01 | 2019-12-17 | N |
| 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. | Health | 2019-11-01 | 2019-12-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-10-29 | 2019-11-18 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-10-29 | 2019-11-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-29 | 2019-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-29 | 2019-11-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-29 | 2019-11-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-10-29 | 2019-11-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-29 | 2019-11-18 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-05-11 | 2018-06-25 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-05-11 | 2018-06-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-05-11 | 2018-06-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-11 | 2018-06-25 | N |
| 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. | Health | 2018-05-11 | 2018-06-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-11 | 2018-06-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-11 | 2018-06-25 | 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 | 2018-05-11 | 2018-06-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-11 | 2018-06-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-05-11 | 2018-06-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-11 | 2018-06-25 | N |
| 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 | 2018-05-11 | 2018-06-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-11 | 2018-06-25 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-14 | 2018-06-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-05-14 | 2018-06-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-05-14 | 2018-06-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-05-14 | 2018-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-14 | 2018-06-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-04-25 | 2017-06-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-04-25 | 2017-06-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-04-25 | 2017-06-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-04-25 | 2017-06-09 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-04-25 | 2017-06-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-04-25 | 2017-06-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-04-25 | 2017-06-09 | N |
| Permit residents to remain in the facility and not be transferred or discharged without adequate reason. | Health | 2017-02-03 | 2017-02-28 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2017-02-03 | 2017-02-28 | N |
| Provide timely notification to the resident before transfer or discharge. | Health | 2017-02-03 | 2017-02-28 | N |
| Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. | Health | 2017-02-03 | 2017-02-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-03 | 2017-02-28 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-02-03 | 2017-01-23 | N |
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