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Deficiency Records for Stillwater Creek Skilled Nursing and Therapy
A list of the most recent deficiencies for Stillwater Creek Skilled Nursing and Therapy. 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 Stillwater Creek Skilled Nursing and Therapy. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-25 | 2024-05-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-25 | 2024-05-15 | 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 | 2024-04-25 | 2024-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-25 | 2024-05-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-25 | 2024-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-25 | 2024-05-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-15 | 2024-04-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-03-15 | 2024-04-23 | 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 | 2024-03-15 | 2024-04-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-15 | 2024-04-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-15 | 2024-04-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-15 | 2024-04-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-15 | 2024-04-23 | 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 | 2024-03-15 | 2024-04-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-15 | 2024-04-23 | 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 | 2024-03-15 | 2024-04-23 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-03-15 | 2024-04-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-27 | 2023-02-22 | 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 | 2023-01-27 | 2023-02-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-27 | 2023-02-22 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-01-27 | 2023-02-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-27 | 2023-02-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-27 | 2023-02-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-27 | 2023-02-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-27 | 2023-02-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-27 | 2023-02-22 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-27 | 2023-02-22 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-31 | 2023-02-22 | 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 | 2023-01-31 | 2023-02-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-31 | 2023-02-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-01-31 | 2023-02-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-31 | 2023-02-22 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-28 | 2022-05-23 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-01-26 | 2022-02-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-26 | 2022-02-18 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-26 | 2022-02-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-10-10 | 2019-12-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-10 | 2019-11-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-10 | 2019-11-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-10 | 2019-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-10 | 2019-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-10 | 2019-11-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-10 | 2019-11-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-10-10 | 2019-11-20 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-10-10 | 2019-11-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-10 | 2019-11-20 | 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 | 2019-10-09 | 2019-11-20 | 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 | 2019-10-09 | 2019-11-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-09 | 2019-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-09 | 2019-11-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-09 | 2019-11-20 | N |
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