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Deficiency Records for Stephenville Rehabilitation and Wellness Center
A list of the most recent deficiencies for Stephenville Rehabilitation and Wellness 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 Stephenville Rehabilitation and Wellness 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? |
---|---|---|---|---|
Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-29 | 2024-09-23 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-29 | 2024-09-17 | 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 | 2024-08-29 | 2024-09-16 | Y |
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 | 2024-08-29 | 2024-09-16 | Y |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-08-29 | 2024-09-16 | Y |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-29 | 2023-06-30 | 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 | 2023-06-29 | 2023-06-30 | N |
Post nurse staffing information every day. | Health | 2023-06-29 | 2023-06-30 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-12-21 | 2023-01-27 | N |
Have an alternate power supply for its alarm system. | Fire Safety | 2022-12-21 | 2023-01-27 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-21 | 2023-01-27 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-21 | 2023-01-27 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-05 | 2022-05-27 | Y |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-05-05 | 2022-05-27 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-05 | 2022-05-27 | 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 | 2022-05-05 | 2022-05-25 | 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 | 2022-05-05 | 2022-05-25 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-05-05 | 2022-05-09 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-08 | 2022-03-09 | Y |
Conduct testing and exercise requirements. | Fire Safety | 2024-09-11 | Not Fixed | N |
Meet other general requirements that are deficient. | Fire Safety | 2024-09-11 | Not Fixed | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-11 | Not Fixed | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-11 | Not Fixed | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-11 | Not Fixed | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-11 | Not Fixed | N |
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