A list of the most recent deficiencies for Cassena Care at Stamford. 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? |
|---|---|---|---|---|
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-09-15 | 2023-12-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-15 | 2023-12-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-15 | 2023-11-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-15 | 2023-11-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-15 | 2023-11-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-15 | 2023-11-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-15 | 2023-11-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-15 | 2023-11-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-15 | 2023-11-17 | 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 | 2023-09-15 | 2023-11-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-15 | 2023-11-17 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-09-15 | 2023-11-17 | 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 | 2023-09-15 | 2023-11-17 | 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 | 2023-09-15 | 2023-11-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-15 | 2023-11-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-14 | 2023-10-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-14 | 2023-10-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-14 | 2023-10-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-14 | 2023-10-25 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-15 | 2023-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-14 | 2023-10-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-26 | 2023-07-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-03 | 2022-07-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-03 | 2022-07-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-03 | 2022-07-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-18 | 2022-03-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-15 | 2021-12-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-25 | 2021-11-08 | N |
| Respond appropriately to all alleged violations. | Health | 2021-08-25 | 2021-11-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-25 | 2021-11-08 | 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 | 2021-08-25 | 2021-11-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-19 | 2021-10-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-19 | 2021-10-28 | 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 | 2021-08-19 | 2021-10-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-19 | 2021-10-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-19 | 2021-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-19 | 2021-10-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-19 | 2021-10-28 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-08-19 | 2021-10-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-19 | 2021-10-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-19 | 2021-10-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-19 | 2021-10-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-19 | 2021-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-25 | 2021-10-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-10 | 2019-11-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-10 | 2019-11-20 | 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 | 2019-10-10 | 2019-11-20 | N |
