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Deficiency Records for Stanley Post Acute
A list of the most recent deficiencies for Stanley Post Acute. 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 Stanley Post Acute. 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? |
|---|---|---|---|---|
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-05-13 | 2024-07-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-13 | 2024-07-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-20 | 2024-06-25 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-05-20 | 2024-06-25 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-20 | 2024-06-25 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-20 | 2024-06-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-20 | 2024-06-25 | Y |
| Provide appropriate foot care. | Health | 2024-05-20 | 2024-06-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-20 | 2024-06-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-20 | 2024-06-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-20 | 2024-06-25 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-20 | 2024-06-25 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-05-20 | 2024-06-25 | Y |
| 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 | 2024-05-20 | 2024-06-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-20 | 2024-06-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-20 | 2024-05-20 | 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 | 2023-03-27 | 2023-04-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-03-27 | 2023-04-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-27 | 2023-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-27 | 2023-04-26 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-03-27 | 2023-04-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-27 | 2023-04-26 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-03-27 | 2023-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-27 | 2023-04-26 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-21 | 2023-04-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-11-09 | 2023-01-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-09 | 2022-12-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-09 | 2022-12-14 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-09 | 2022-12-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-09 | 2022-12-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-09 | 2022-12-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-23 | 2022-04-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-23 | 2022-04-06 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-02-23 | 2022-04-06 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-02-23 | 2022-04-06 | N |
| Provide activities to meet all resident's needs. | Health | 2022-02-23 | 2022-04-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-23 | 2022-04-06 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-02-23 | 2022-04-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-23 | 2022-04-06 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-02-23 | 2022-04-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-23 | 2022-04-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-02-23 | 2022-04-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-23 | 2022-04-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-23 | 2022-04-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-23 | 2022-04-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-23 | 2022-04-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-23 | 2022-04-06 | 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 | 2022-02-23 | 2022-04-06 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-02-23 | 2022-04-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-23 | 2022-04-06 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-02-16 | 2022-04-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-16 | 2022-04-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-16 | 2022-04-06 | N |
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