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Deficiency Records for Clara Baldwin Stocker Home For Women
A list of the most recent deficiencies for Clara Baldwin Stocker Home For Women. 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 Clara Baldwin Stocker Home For Women. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-30 | 2024-10-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-30 | 2024-10-11 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-04-10 | 2024-04-24 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-16 | 2024-03-04 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-16 | 2024-03-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2023-12-29 | 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 | 2023-11-16 | 2023-12-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-16 | 2023-12-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-16 | 2023-12-12 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-11-16 | 2023-12-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-16 | 2023-12-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-16 | 2023-12-12 | 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 | 2023-11-16 | 2023-12-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-16 | 2023-12-12 | 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 | 2023-11-16 | 2023-12-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-16 | 2023-12-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-16 | 2023-12-12 | N |
| Post nurse staffing information every day. | Health | 2023-11-16 | 2023-12-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-16 | 2023-12-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-16 | 2023-12-12 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-11-16 | 2023-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-16 | 2023-12-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-17 | 2023-12-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-17 | 2023-11-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-17 | 2023-11-08 | 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 | 2023-10-17 | 2023-11-08 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-08-11 | 2023-08-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-01 | 2023-08-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-01 | 2023-08-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-23 | 2023-07-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-13 | 2023-07-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-13 | 2023-07-12 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-06-13 | 2023-07-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-13 | 2023-07-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-13 | 2023-07-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-13 | 2023-07-12 | Y |
| 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 | 2023-06-13 | 2023-07-12 | 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 | 2023-06-13 | 2023-07-12 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-06-13 | 2023-07-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-13 | 2023-07-12 | 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 | 2023-06-13 | 2023-07-12 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-06-13 | 2023-07-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-13 | 2023-07-12 | Y |
| Keep all essential equipment working safely. | Health | 2023-06-13 | 2023-07-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-13 | 2023-07-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-28 | 2023-05-18 | Y |
| 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 | 2023-04-18 | 2023-05-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-14 | 2023-03-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-13 | 2023-03-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-13 | 2023-03-31 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-03 | 2023-02-22 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2022-12-04 | 2023-01-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-04 | 2023-01-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-12-04 | 2023-01-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-04 | 2023-01-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-12-04 | 2023-01-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-04 | 2023-01-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-04 | 2023-01-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-05 | 2022-12-29 | 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 | 2022-12-05 | 2022-12-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-05 | 2022-12-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-05 | 2022-12-29 | 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 | 2022-12-05 | 2022-12-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-05 | 2022-12-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-05 | 2022-12-29 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-12-05 | 2022-12-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-05 | 2022-12-29 | 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 | 2022-12-05 | 2022-12-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-05 | 2022-12-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-12-05 | 2022-12-29 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-12-05 | 2022-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-05 | 2022-12-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-05 | 2022-12-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-06 | 2022-06-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-06 | 2022-06-03 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-02-04 | 2022-03-15 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2022-02-04 | 2022-03-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-01 | 2022-03-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-01 | 2022-03-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-01 | 2022-03-10 | Y |
| Keep all essential equipment working safely. | Health | 2021-12-01 | 2022-03-10 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-12 | 2021-07-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-12 | 2021-07-02 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-05-12 | 2021-07-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-05-12 | 2021-07-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-12 | 2021-07-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-05-12 | 2021-07-02 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-05-12 | 2021-07-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-12 | 2021-07-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-05-13 | 2021-06-18 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-05-13 | 2021-06-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-13 | 2021-06-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-13 | 2021-06-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-13 | 2021-06-18 | 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 | 2021-05-13 | 2021-06-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-13 | 2021-06-18 | 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 | 2021-05-13 | 2021-06-18 | 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 | 2021-05-13 | 2021-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-13 | 2021-06-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-13 | 2021-06-18 | N |
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