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Deficiency Records for Stratford Manor Rehabilitation and Care Center
A list of the most recent deficiencies for Stratford Manor Rehabilitation and Care Center. 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 Stratford Manor Rehabilitation and Care Center. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-24 | 2024-05-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-04-24 | 2024-05-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-24 | 2024-05-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-24 | 2024-05-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-24 | 2024-05-17 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-04-24 | 2024-05-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-24 | 2024-05-17 | 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 | 2024-04-24 | 2024-05-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-24 | 2024-05-17 | 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 | 2024-04-24 | 2024-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-24 | 2024-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-24 | 2024-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-24 | 2024-05-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-24 | 2024-05-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-08 | 2022-04-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-08 | 2022-04-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-08 | 2022-04-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-08 | 2022-04-14 | 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 | 2022-03-08 | 2022-04-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-08 | 2022-04-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-08 | 2022-04-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-08 | 2022-04-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-21 | 2019-12-20 | N |
| Post nurse staffing information every day. | Health | 2019-11-21 | 2019-12-20 | 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 | 2019-11-21 | 2019-12-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-21 | 2019-12-20 | N |
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