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Deficiency Records for Stonegate Nursing and Rehabilitation

A list of the most recent deficiencies for Stonegate Nursing and Rehabilitation. 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 Stonegate Nursing and Rehabilitation. 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?
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-09-06 2023-10-06 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-09-06 2023-10-06 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 2023-09-06 2023-10-06 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 2023-09-06 2023-10-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-09-06 2023-10-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-09-06 2023-10-06 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-09-06 2023-10-06 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-09-06 2023-10-06 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-09-06 2023-10-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-09-06 2023-10-06 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-08-31 2023-09-04 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-31 2023-09-04 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 2023-08-31 2023-09-04 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-31 2023-09-04 N
Provide and implement an infection prevention and control program. Health 2023-08-17 2023-08-21 Y
Post nurse staffing information every day. Health 2023-05-26 2023-06-20 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-02-03 2023-02-13 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-12-15 2022-12-16 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-10-18 2022-10-19 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-10-18 2022-10-19 Y
Provide primary/alternate means for communication. Fire Safety 2022-07-13 2022-08-11 N
Provide and implement an infection prevention and control program. Health 2022-07-14 2022-08-05 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-07-13 2022-07-27 N
Have an alternate power supply for its alarm system. Fire Safety 2022-07-13 2022-07-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-07-13 2022-07-26 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2022-07-13 2022-07-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-14 2022-07-19 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-07-14 2022-07-15 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-07-14 2022-07-15 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2022-07-14 2022-07-15 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 2022-07-14 2022-07-15 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-08 2022-06-10 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-04-06 2022-04-11 Y
Provide and implement an infection prevention and control program. Health 2021-12-14 2022-01-12 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-11-23 2021-11-25 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-04-15 2021-05-31 N
Use approved construction type or materials. Fire Safety 2021-04-16 2021-05-31 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-04-16 2021-05-31 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2021-04-16 2021-05-31 N
Install proper backup exit lighting. Fire Safety 2021-04-16 2021-05-31 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 2021-04-16 2021-05-31 N
Have an alternate power supply for its alarm system. Fire Safety 2021-04-16 2021-05-31 N
Install an approved automatic sprinkler system. Fire Safety 2021-04-16 2021-05-31 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-04-16 2021-05-31 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-04-16 2021-05-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-04-16 2021-05-31 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-04-16 2021-05-31 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-04-16 2021-05-31 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-04-16 2021-05-31 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-04-16 2021-05-31 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2021-04-16 2021-05-31 N

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