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Deficiency Records for Stevens Nursing and Rehabilitation Center of Halle

A list of the most recent deficiencies for Stevens Nursing and Rehabilitation Center of Halle. 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 Stevens Nursing and Rehabilitation Center of Halle. 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2024-01-26 2024-02-16 Y
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 2024-01-26 2024-02-16 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-26 2024-02-16 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-01-26 2024-02-16 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-26 2024-02-16 Y
Respond appropriately to all alleged violations. Health 2024-01-26 2024-02-16 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-01-26 2024-02-16 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-01-26 2024-02-16 Y
Provide care or services that was trauma informed and/or culturally competent. Health 2024-01-26 2024-02-16 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-01-26 2024-02-16 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-26 2024-02-16 Y
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2024-01-24 2024-02-16 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2024-01-24 2024-02-16 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-01-24 2024-02-16 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-01-24 2024-01-25 N
Provide and implement an infection prevention and control program. Health 2023-11-30 2023-12-05 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-11-11 2022-12-12 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-11-11 2022-12-12 Y
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2022-11-11 2022-12-12 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-11-10 2022-12-12 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-11-10 2022-11-11 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 2022-02-03 2022-03-01 Y
Provide and implement an infection prevention and control program. Health 2022-02-03 2022-03-01 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-09-10 2021-09-30 N
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 2021-09-10 2021-09-30 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-09-08 2021-09-30 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-09-08 2021-09-30 N
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Fire Safety 2021-09-08 2021-09-30 N

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