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Deficiency Records for Stone Pear Pavilion
A list of the most recent deficiencies for Stone Pear Pavilion. 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 Stone Pear Pavilion. 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-08-08 | 2024-09-30 | 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 | 2024-08-08 | 2024-09-30 | 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 | 2024-08-08 | 2024-09-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-08 | 2024-09-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-08 | 2024-09-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-08 | 2024-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-08 | 2024-09-30 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-08-08 | 2024-09-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-08 | 2024-09-30 | N |
| 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 | 2024-08-08 | 2024-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-08 | 2024-09-30 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-08-08 | 2024-09-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-07 | 2024-09-17 | 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 | 2024-08-07 | 2024-09-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-07 | 2024-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-07 | 2024-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-07 | 2024-09-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-08-07 | 2024-09-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-14 | 2022-11-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-14 | 2022-11-17 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-14 | 2022-11-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-14 | 2022-11-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-14 | 2022-11-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-14 | 2022-11-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-14 | 2022-11-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-14 | 2022-11-17 | 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 | 2022-09-14 | 2022-11-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-13 | 2022-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-13 | 2022-09-30 | 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 | 2021-05-25 | 2021-07-07 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-05-25 | 2021-07-07 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-05-25 | 2021-07-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-25 | 2021-07-07 | 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 | 2021-05-26 | 2021-06-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-26 | 2021-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-26 | 2021-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-26 | 2021-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-26 | 2021-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-26 | 2021-06-30 | N |
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