A list of the most recent deficiencies for Life Care Center of Stonegate. 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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-12-13 | 2024-01-25 | Y |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-04-27 | 2023-06-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-27 | 2023-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-27 | 2023-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-13 | 2023-06-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-27 | 2023-06-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-27 | 2023-06-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-27 | 2023-06-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-04-27 | 2023-06-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-27 | 2023-06-04 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2023-04-27 | 2023-06-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-27 | 2023-06-04 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-04-27 | 2023-06-04 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-13 | 2023-05-25 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-13 | 2023-05-25 | 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 | 2023-04-13 | 2023-05-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-13 | 2023-05-25 | 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 | 2023-04-13 | 2023-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-05-25 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-04-13 | 2023-05-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-04-13 | 2023-05-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-13 | 2023-05-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-13 | 2023-05-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-03 | 2022-03-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-02-03 | 2022-03-22 | 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 | 2022-02-03 | 2022-03-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-03 | 2022-03-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-03 | 2022-03-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-03 | 2022-03-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-06 | 2022-02-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-10-26 | 2020-11-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-10-26 | 2020-11-24 | 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 | 2020-10-26 | 2020-11-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-26 | 2020-11-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-26 | 2020-11-24 | 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 | 2020-10-26 | 2020-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-26 | 2020-11-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-10-26 | 2020-11-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-11-03 | 2020-11-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-11-03 | 2020-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-11-03 | 2020-11-18 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2020-11-03 | 2020-11-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-11-03 | 2020-11-04 | 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 | 2020-11-03 | 2020-11-03 | N |
