A list of the most recent deficiencies for Stoddard Baptist Nursing Home. 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? |
---|---|---|---|---|
Respond appropriately to all alleged violations. | Health | 2022-11-09 | 2023-02-08 | 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 | 2022-11-09 | 2023-02-08 | Y |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-11-09 | 2023-02-08 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-09 | 2023-02-08 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-11-09 | 2023-02-08 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-09 | 2023-01-09 | Y |
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 | 2022-11-09 | 2023-01-09 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-09 | 2023-01-09 | Y |
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-11-09 | 2023-01-09 | Y |
Ensure each resident receives an accurate assessment. | Health | 2022-11-09 | 2023-01-09 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-09 | 2023-01-09 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-09 | 2023-01-09 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-09 | 2023-01-09 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-09 | 2023-01-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-09 | 2023-01-09 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-09 | 2023-01-09 | Y |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-11-09 | 2023-01-09 | Y |
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 | 2022-11-09 | 2023-01-09 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-09 | 2023-01-09 | 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 | 2022-11-09 | 2023-01-09 | Y |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-11-09 | 2023-01-09 | Y |
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2022-11-09 | 2023-01-09 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-09 | 2023-01-09 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-11-09 | 2023-01-09 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-09 | 2023-01-09 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2022-11-09 | 2023-01-09 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-03-12 | 2020-04-07 | 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 | 2020-03-12 | 2020-04-07 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-03-12 | 2020-04-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-12 | 2020-04-07 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-03-12 | 2020-04-07 | 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 | 2020-03-12 | 2020-04-07 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-01-29 | 2019-02-20 | 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 | 2019-01-29 | 2019-02-20 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-01-29 | 2019-02-20 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-29 | 2019-02-20 | N |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-01-29 | 2019-02-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-29 | 2019-02-20 | N |
Keep all essential equipment working safely. | Health | 2019-01-29 | 2019-02-20 | N |