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Deficiency Records for Studebaker Healthcare Center
View the most recent health deficiencies and inspection results for Studebaker Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Studebaker Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2026-02-20 | 2026-03-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-02-20 | 2026-03-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-02-20 | 2026-03-24 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2026-02-20 | 2026-03-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2026-02-20 | 2026-03-24 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2026-02-20 | 2026-03-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-20 | 2026-03-24 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2026-02-20 | 2026-03-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-20 | 2026-03-24 | 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 | 2026-02-20 | 2026-03-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-02-20 | 2026-03-24 | 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 | 2026-02-20 | 2026-03-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-02-20 | 2026-03-24 | N |
| 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 | 2026-02-20 | 2026-03-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2026-02-20 | 2026-03-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-20 | 2026-03-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-02-20 | 2026-03-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-02-20 | 2026-03-24 | 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 | 2026-02-20 | 2026-03-24 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2026-02-20 | 2026-03-24 | 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 | 2026-02-20 | 2026-03-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-20 | 2026-03-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-20 | 2026-03-24 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2026-02-20 | 2026-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-20 | 2026-03-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2026-02-20 | 2026-03-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-02-20 | 2026-03-24 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2026-02-20 | 2026-03-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-02-20 | 2026-03-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-20 | 2026-03-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-20 | 2026-03-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-02-20 | 2026-03-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-02-20 | 2026-03-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-02-20 | 2026-03-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-02-20 | 2026-03-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-05 | 2026-03-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-05 | 2026-03-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-02-05 | 2026-03-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-02 | 2025-12-12 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2025-12-02 | 2025-12-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-09-10 | 2025-10-09 | 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 | 2025-09-10 | 2025-10-09 | Y |
| Provide or arrange emergency care by a doctor 24 hours a day. | Health | 2025-09-10 | 2025-10-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-09 | 2025-06-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-09 | 2025-06-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-09 | 2025-06-07 | Y |
| 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 | 2025-05-09 | 2025-06-07 | 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 | 2025-01-31 | 2025-02-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-20 | 2025-01-17 | 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 | 2024-12-20 | 2025-01-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-12-20 | 2025-01-17 | 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 | 2024-12-20 | 2025-01-17 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-12-20 | 2025-01-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-20 | 2025-01-17 | 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 | 2024-12-20 | 2025-01-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-12-20 | 2025-01-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-12-20 | 2025-01-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-20 | 2025-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-20 | 2025-01-17 | 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 | 2024-12-20 | 2025-01-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-12-20 | 2025-01-17 | 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 | 2024-12-20 | 2025-01-17 | 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 | 2024-12-20 | 2025-01-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-12-20 | 2025-01-17 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-12-20 | 2025-01-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-12-20 | 2025-01-17 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-12-12 | 2025-01-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-18 | 2024-12-19 | Y |
| 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 | 2024-11-04 | 2024-12-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-23 | 2024-11-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-23 | 2024-11-21 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-10-23 | 2024-11-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-23 | 2024-11-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-09 | 2024-10-08 | Y |
| 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 | 2024-08-20 | 2024-09-18 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-06-18 | 2024-07-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-13 | 2024-06-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-23 | 2024-03-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-23 | 2024-03-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-20 | 2024-03-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-20 | 2024-03-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-20 | 2024-03-19 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-01-19 | 2024-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-19 | 2024-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-19 | 2024-02-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-19 | 2024-02-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-19 | 2024-02-26 | 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 | 2024-01-19 | 2024-02-26 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-01-19 | 2024-02-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-19 | 2024-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-19 | 2024-02-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-19 | 2024-02-26 | N |
| Respond appropriately to all alleged violations. | Health | 2024-01-19 | 2024-02-21 | N |
| Provide activities to meet all resident's needs. | Health | 2024-01-19 | 2024-02-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-19 | 2024-02-21 | 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 | 2024-01-19 | 2024-02-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-19 | 2024-02-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-19 | 2024-02-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-19 | 2024-02-21 | 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 | 2024-01-19 | 2024-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-19 | 2024-02-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-19 | 2024-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-19 | 2024-02-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-19 | 2024-02-21 | N |
| Keep all essential equipment working safely. | Health | 2024-01-19 | 2024-02-21 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-01-19 | 2024-02-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-19 | 2024-02-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-19 | 2024-02-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-19 | 2024-02-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-19 | 2024-02-21 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-12-03 | 2024-01-02 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-03 | 2024-01-02 | Y |
| Implement a program that monitors antibiotic use. | Health | 2023-12-03 | 2024-01-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-03 | 2024-01-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-03 | 2024-01-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-03 | 2024-01-02 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-12-04 | 2023-12-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-04 | 2023-12-20 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-12-04 | 2023-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-04 | 2023-12-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-04 | 2023-12-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-27 | 2023-11-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-28 | 2023-11-21 | Y |