A list of the most recent deficiencies for Citadel of Sterling,the. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-25 | 2024-02-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-03 | 2023-11-16 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2023-05-04 | 2023-05-30 | 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 | 2023-05-04 | 2023-05-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-05-04 | 2023-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-04 | 2023-05-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-04 | 2023-05-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-04 | 2023-05-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-04 | 2023-05-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-03 | 2023-05-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-03 | 2023-05-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-03 | 2023-05-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-03 | 2023-05-16 | 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 | 2023-05-03 | 2023-05-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-03 | 2023-05-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-20 | 2022-09-28 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-14 | 2022-05-04 | 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 | 2022-04-14 | 2022-05-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-14 | 2022-05-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-14 | 2022-05-04 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-04-14 | 2022-04-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-14 | 2022-04-28 | 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 | 2022-04-14 | 2022-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-14 | 2022-04-28 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-03-12 | 2021-04-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-03-12 | 2021-04-16 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-03-12 | 2021-04-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-03-12 | 2021-04-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-03-12 | 2021-04-16 | N |
| Establish methods for sharing information. | Fire Safety | 2021-03-12 | 2021-04-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-03-12 | 2021-04-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-12 | 2021-04-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-12 | 2021-04-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-03-04 | 2021-03-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-04 | 2021-03-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-04 | 2021-03-15 | 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 | 2021-03-04 | 2021-03-15 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-03-04 | 2021-03-15 | N |
